Medical Director - Client Services and Analytics
About The Position
The Medical Director, Client Services and Analytics provides leadership in guiding the clinical sales and marketing strategy and execution for Capital Blue Cross’s Commercial Group lines of business. The role partners with the sales team and current and prospective clients to recommend strategies and solutions, and provides guidance to maximize sales outcomes and communicate Capital’s clinical strategies and solutions. The position is hybrid, with onsite work required Tuesdays and Wednesdays at the Harrisburg, Pennsylvania office. The employee must be able to work more than 40 hours per week. The role requires an MD or DO degree, current unrestricted Pennsylvania licensure as an MD or DO, and a Pennsylvania license to sell Health and Life Insurance or the ability to obtain one within 90 days of hire. Continuing education is required to maintain the insurance license. Capital Blue Cross describes a flexible work environment that prioritizes health and wellbeing, encourages community volunteering, and invests in training and continuing education. The company also offers medical, dental, and vision coverage; a retirement plan; paid time off, holidays, and volunteer time off; an incentive plan; and tuition reimbursement.
Requirements
- MD or DO degree.
- Current, unrestricted Pennsylvania licensure as an MD or DO.
- Pennsylvania license to sell Health and Life Insurance, or ability to obtain the license within 90 days of hire; continuing education is required to maintain the license.
- At least 5 years of experience working in a health care delivery system, insurer, or managed care organization.
- Five years of clinical experience post-residency, including both inpatient and outpatient care.
- Five years of experience in a management or leadership position in the health care industry.
- Insurance product sales experience.
- Ability to engage and build lasting relationships and collaborations with key clients.
- Ability to assess business needs, design and implement programs, and evaluate results.
- Ability to explain complex medical terms, theories, and analyses in understandable language.
- Knowledge of managed healthcare systems, quality assurance, and improvement.
- Strong business acumen, including working knowledge of the changing U.S. payer and provider landscape.
- Ability to work more than 40 hours per week.
Responsibilities
- Partner with Commercial Group sales teams to educate key clients about the Company’s products, programs, strategies, and goals, emphasizing the Company’s medical capabilities as a differentiator.
- Monitor and drive patient and client experience and satisfaction metrics.
- Maintain and leverage relationships to drive market growth.
- Lead and promote collaboration across disciplines and teams to achieve clinical and business outcomes.
- Support clients in interpreting data and consult on developing strategies on their behalf.
- Provide strategic direction to Healthcare Delivery for the optimal delivery of program value narratives.
- Lead the evolution of Capital’s group clinical data consultation model.
- Lead the clinical growth and evolution of the comprehensive stop loss and high cost claimant strategy.
Benefits
- Medical coverage
- Dental coverage
- Vision coverage
- Retirement plan
- Paid time off
- Paid holidays
- Volunteer time off
- Incentive plan
- Tuition reimbursement
- Flexible work environment
- Training and continuing education
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What This Job Offers
Job Type
Full-time
Career Level
Director
Education Level
Ph.D. or professional degree
