Senior Medical Director

What You’ll Do

• Lead with Purpose: Direct physician-led case and utilization management across all lines of business.
• Innovate with Impact: Define and execute our medical and clinical strategy, introducing personalized care models and digital health innovations that put our customers first.
• Build and Govern: Develop forward-thinking clinical programs, governance frameworks, and policies that shape the future of global care.
• Collaborate Strategically: Partner across network development, product design, planning, and sales to drive enterprise-wide transformation.
• Review with Precision: Conduct clinical reviews for inpatient and outpatient services requiring prior authorization and medical necessity.
• Strengthen Partnerships: Cultivate and support relationships with key healthcare providers, telemedicine and assistance vendors, and regulatory agencies to enhance service delivery.
• Promote Global Health: Lead initiatives that improve the member experience by leveraging BCBS Global Solutions capabilities within diverse health systems in both developed and developing countries.

What You Bring

• 7+ years of post-residency clinical practice.
• US Board Certification.
• Expertise in multi-country health delivery systems and clinical governance.
• Proven experience with digitally delivered healthcare.
• Strategic mindset with a passion for innovation and leadership.

Why BCBS Global Solutions?

• Work with a mission-driven team that’s transforming global health.
• Influence the future of digital healthcare and international medical assistance.
• Collaborate with world-class professionals in a dynamic, inclusive culture.
• Enjoy flexibility, autonomy, and the opportunity to make a global impact.
• Bring humanity to healthcare—creating inclusive environments, personalized experiences and going above and beyond in the moments that matter most.