Sr. Medical Director, Provider Performance

Your Role

The Senior Medical Director, Provider Performance, sits at the center of Blue Shield of California's efforts to elevate provider performance, clinical quality, and affordability across its entire Commercial network. The incumbent partners closely with Provider Performance, Network Management/Contracting, and internal/external partners to drive measurable provider performance improvements, while supporting key external Commercial clients. This role blends strategic influence with real execution- leading performance improvement for some of the most complex health systems while shaping network strategy, supporting contracting efforts, and delivering on the BSC mission statements.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• MD or DO degree required; master's degree in healthcare, public health, business, or related field preferred (MPH, MBA, MHA, etc.)

• 10 years of managed care experience required

• 5 years of clinical experience required

• 2 years of previous medical leadership experience required

• Completed residency, preferably in adult-based primary care specialty (e.g. internal medicine, family practice)

• Active, unrestricted California State Medical License

• Demonstrated experience executing provider performance initiatives

• Demonstrated ability to manage multiple complex initiatives simultaneously

• Experience coordinating cross-functional, clinical, and data-oriented projects, in a matrixed environment preferred

Hybrid Virtual Work

This role allows employees to work virtually full-time, however employees will be expected to come to the office based on business need.