BS
BSCMedical Director, Arbitrations and Utilization Management (Part Time)
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Before you apply
SalaryNo pay range posted
LocationLong Beach, CA, United States
Typepart-time
SeniorityDirector
DepartmentMedical Management
Company size10,000+ people
First seenOct 18, 2026 · 2w ago
Verified live3d ago
At a glanceSummarised by Seekless from the posting.
Provide clinical review and support for provider arbitrations across Commercial and Medicare lines of business
Provide flexible UM Medical Director coverage based on operational needs
Your Role
The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Medical Director, Arbitrations and UM MD Float is reporting to Sr. Medical Director, Arbitration/SIU/Mandates/Specialty Director Oversight. In this role, you will provide clinical review and support for provider arbitrations across Commercial and Medicare lines of business and provide flexible UM Medical Director coverage based on operational needs.
About the company
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.
This is a part-time position with a 0.6 FTE schedule