Senior Medical Director

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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.

• 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:
  Hybrid schedule at Meridian, Idaho campus or fully remote within an agreed‑upon location.

• 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.

• 12+ years of clinical practice, including leadership experience.

• Doctorate Degree in Medicine.
• Residency or Fellowship in a program approved by the Accreditation Council for Graduate Medical Education (ACGME).

• Current, unrestricted medical license – MD or DO.
• Board Certification via the American Board of Medical Specialties (ABMS) or a Specialty Board.
• Ability to obtain an Idaho Medical License.

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

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, the estimated pay range is $243,150 to $389,040. The position is eligible for an annual incentive bonus (variable depending on company and employee performance). Compensation decisions are dependent on factors and circumstances at the time of offer.

We offer a robust package: paid time off, paid holidays, community service and self‑care days, medical/dental/vision/pharmacy insurance, 401(k) matching, life insurance, short and long‑term disability, education reimbursement, employee assistance plan (EAP), adoption assistance program, and paid family leave program.

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. 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, disability, or any other federal, state or local protected class.