Medical Strategy Leader - Value-Based Care & Partnerships

Blue Cross and Blue Shield of North Carolina; North Carolina; Hybrid; USD 191,000 - 306,000; Full time

Benefits offered by this job

Annual Incentive Bonus

401(k) with employer match

PTO

Health benefits and wellness programs

Job summary

Blue Cross and Blue Shield of North Carolina is seeking a Medical Director to guide clinical strategy and collaborate with physicians, providers, employers and members. The role focuses on value-based care, quality initiatives and cost-effective outcomes in a dynamic health care organization.

The Medical Director will lead cross-functional teams, shape clinical operations, and engage with external partners on performance improvement, data-driven decisions and regulatory alignment.

Qualifications

• MD or DO with residency completed and board certification.
• Experience in leadership and healthcare program design.
• Clinical knowledge aligned with value-based care goals.

Responsibilities

• Lead clinical strategy and interface with physicians, providers and members.
• Drive value-based care initiatives and quality improvement.
• Develop and implement care management and utilization strategies.
• Collaborate on market and partnership opportunities with internal and external partners.
• Analyze data to identify clinical and financial improvement opportunities.

Skills

Clinical Experience

Clinical Leadership

Health Care

Health Care Compliance

Healthcare Development

Healthcare Improvement

Healthcare Transformation

Medical Care

Medical Decision Making

Medical Knowledge

Medical Quality

New Program Development

Patient Care

Patient Care Coordination

Patient Evaluations

Policy Development

Education

MD or DO from an accredited medical school

Residency training program completed

Board certification in ABMS/AOA recognized specialty

Job description

Blue Cross and Blue Shield of North Carolina is seeking a Medical Director to guide clinical strategy and collaborate with physicians, providers, employers and members. The role focuses on value-based care, quality initiatives and cost-effective outcomes in a dynamic health care organization.

The Medical Director will lead cross-functional teams, shape clinical operations, and engage with external partners on performance improvement, data-driven decisions and regulatory alignment.