Medical Director, Medical Operations - CalPERS

Your Role

The Medical Management team ensures that Blue Shield is on the cutting edge of utilization management reimagined to accelerate the development and sustainability of a value-based health care system in California. The Medical Director, Medical Operations - CalPERS will report to the Vice President, Medical Management. In this role, you will deliver and collaborate on clinical review activities, which includes management of the physician processes in support of utilization management and transactional functions for CalPERS members.

These functions include performance of pre-service and retrospective utilization review, and operationalization of joint initiatives supporting CalPERS strategic goals.

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.