Sr. Medical Director, Clinical Strategy
Location: El Dorado Hills
Posted on: June 23, 2025
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Job Description:
Your Role ??Reporting to the Chief Medical Officer, the Senior
Medical Director, Clinical Strategy will define the vision and
priorities for Blue Shield of California’s strategy to deliver best
in class clinical outcomes for our members while working to ensure
that health care is affordable. ?In this role you will ?be
accountable for working in partnership with other leaders to
deliver best in class clinical programs and align our value-based
care models to meet our clinical strategy objectives. ? Your Work
In this role, you will: Develop a clinical strategy framework and
guiding principles, grounded in data on population health outcomes
and cost, to deliver Best in Class clinical outcomes for Blue
Shield of California members Define the organization’s overall
clinical strategy, as relates to priorities, partnerships, and key
measures of success to improve member experience, population health
and affordability, inclusive of primary care and specialty care
Co-chair the Clinical Program Review and Governance Committee with
the Chief Medical Officer to ensure that all clinical programs are
delivering expected clinical and cost of care outcomes for our
members Work with teams performing vendor management to ensure that
contracts include appropriate metrics to ensure programs are
meeting operational targets to achieve clinical objectives
Collaborate with the Health Economics team to develop the
methodology to evaluate the effectiveness and lead a process to
ensure robust evaluation of all clinical programs Collaborate with
business leaders to ensure that the clinical strategy and clinical
programs are meeting business, client, and member needs Create an
environment of accountability and continuous quality improvement to
ensure that all clinical programs continue to meet and exceed
objectives necessary to deliver best in class clinical outcomes for
Blue Shield of California members Communicate internally and
externally the vision and strategy to transform healthcare to
deliver Best in Class clinical outcomes for Blue Shield of
California members Your Knowledge and Experience Minimum of 2 years
of previous medical leadership experience Minimum of 5 years of
direct patient care experience post residency Minimum 4 years
experience in observational study design and execution and/or
clinical program evaluation Medical degree (M.D./D.O.) Maintain
active, unrestricted California State Medical License required;
Maintain active, unrestricted Medical License in all additional
assigned states required Maintain Board Certification in one of
ABMS, ABOS, or AOA recognized specialty required Outstanding verbal
and written communication skills Ability to lead through influence
in a matrixed organization Masters or PhD in Health Services
Research, Epidemiology, Biostatistics or similar field preferred
Experience in a health plan or managed care organization is
preferred
Keywords: , Chico , Sr. Medical Director, Clinical Strategy, Healthcare , El Dorado Hills, California
