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Medical Operations Director – Value- Care & UM Lead

Job in Rancho Cordova, Sacramento County, California, 95741, USA
Listing for: Blue Shield of CA
Full Time position
Listed on 2026-03-01
Job specializations:
  • Healthcare
    Healthcare Consultant, Healthcare Management, Healthcare Administration
Salary/Wage Range or Industry Benchmark: 200000 - 250000 USD Yearly USD 200000.00 250000.00 YEAR
Job Description & How to Apply Below
Position: Medical Operations Director – Value-Based Care & UM Lead
A leading health insurance provider in California is looking for a Medical Director for Medical Operations. This role involves delivering and collaborating on clinical review activities to drive utilization management for CalPERS members. Candidates must have a Medical degree, a minimum of 5 years post-residency experience, and an active California medical license. Strong communication and collaboration skills are vital for success in this position, contributing to a value-based healthcare system.
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