Senior Medical Director

Blue Cross of Idaho•Bozeman, MT

3d•$243,150 - $389,040•Hybrid

About The Position

Shape the Future of Healthcare in Idaho and Beyond Blue Cross of Idaho is seeking a Senior Medical Director to provide strategic clinical leadership and drive innovation in medical management. This is an opportunity to influence healthcare delivery at scale, improve outcomes, and ensure cost-effective, high-quality care for our members. Why Join Us? Lead with Impact: Direct medical management strategy, utilization review, and quality initiatives that set national benchmarks. Collaborate at the Highest Level: Serve as a trusted liaison with physicians, hospitals, and healthcare partners to strengthen provider relationships and improve member experience. Drive Innovation: Develop and implement evidence-based clinical guidelines and programs that enhance outcomes while managing costs. Flexible Work Options: Enjoy a hybrid schedule at our Meridian, Idaho campus or explore fully remote opportunities within an agreed-upon location. #LI-Remote #LI-Hybrid Why This Role Matters You’ll be at the forefront of transforming healthcare delivery—balancing quality, affordability, and innovation. Your leadership will directly impact thousands of lives across Idaho and beyond. As of the date of this posting, a good faith estimate of the current pay range is $243,150 to $389,040. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). The pay range for this position takes into account a wide range of factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, travel requirements, internal equity, business or organizational needs, and alignment with market data. At Blue Cross of Idaho, it is not typical for an individual to be hired at or near the top range for the position. Compensation decisions are dependent on factors and circumstances at the time of offer. We offer a robust package of benefits including paid time off, paid holidays, community service and self-care days, medical/dental/vision/pharmacy insurance, 401(k) matching and non-contributory plan, life insurance, short and long term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program and paid family leave program. We will adhere to all relevant state and local laws concerning employee leave benefits, in line with our plans and policies. Reasonable accommodations To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Blue Cross of Idaho has taken our role as an Idaho-based health insurance company to heart since 1945. As a not-for-profit, we are driven to help connect Idahoans to quality and affordable healthcare while building strong networks and services. We aim to create a brighter future for all with the help of customer-centric professionals. Your Health and Wellness Matters At Blue Cross of Idaho, we care about the health and well-being of our employees. Our benefits aim to help make your life easier, healthier and more balanced. Your Career Development Matters We believe in employee growth, which is why we offer training, tools and numerous resources to assist with professional development. Your Community Matters Our employees care deeply about Idaho. We work together to positively impact communities throughout Idaho, and contribute our time through volunteering. Blue Cross of Idaho will extend reasonable accommodations to qualified individuals with disabilities who are otherwise not able to fully use electronic and online job application systems. For assistance, please send an email to [email protected]. Equal Opportunity is the Law EEO is the Law Supplement E-Verify Pay Transparency

Requirements

Experience: 12+ years of clinical practice, to include leadership experience
Education: Doctorate Degree in Medicine
Residency or Fellowship in a residency program approved by the Accreditation Council for Graduate Medical Education (ACGME)
Licensure: Current, unrestricted medical license – either Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO)
Board Certification via the American Board of Medical Specialties (ABMS) or Specialty Board
Ability to obtain an Idaho Medical License

Nice To Haves

Managed care experience, utilization management expertise, and background in medical administration.

Responsibilities

Provide leadership and mentorship to medical directors and clinical teams, fostering professional growth and collaboration.
Guide medical policy development, utilization management, and quality improvement initiatives.
Partner with Healthcare Operations to optimize efficiency through data-driven strategies that reduce costs and improve care.
Represent Blue Cross of Idaho in professional organizations and act as a key voice in shaping healthcare policy and practice.
Participate in appeals, grievances, and vendor oversight to ensure compliance and quality standards.
Minimal shared weekend call coverage required.