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Blue Cross Blue Shield of Minnesota Medical Director- National Accounts Job in Eagan, Minnesota

For more than 80 years, Blue Cross and Blue Shield of Minnesota has been passionate about improving health. We provide quality, cost-effective health plans and innovative programs that make a healthy difference in people's lives. Blue Cross is the largest health plan based in Minnesota, covering nearly 3 million members in the state and across the country. We strive to help all Minnesotans overcome the barriers to good health. We offer our employees a comprehensive benefits, compensation and total rewards package to keep you and your family healthy and to secure your financial future. Our Employee Resource Groups help us advance health equity while promoting a diverse and inclusive work environment. Join us and make a healthy difference in people's lives through the work you do every day. Together, we'll make Minnesota a better place to live - and a healthier one. Description Summary Clinical Care Management Provide clinical leadership to internal programs and staff and serve as a liaison among internal departments and external providers. Develop effective, well-defined and supported integrated medical management processes and functions for purchaser populations, and manage them in collaboration with health management division, health informatics and other staff. Provide education for internal staff and providers on the needs of populations being served. Consult with physicians to discuss optimal methods of treatment for specific diagnoses and conditions emphasizing evidence-based medicine. Promote active management to avert complications of acute and chronic illness. Assume a leadership role for accreditation activities and regulatory compliance issues as they pertain to integrated care processes and/or populations. Seek to continually improve member satisfaction and health outcomes. Serve as an ambassador to the community for improving care. Monitor and assess the effectiveness of programs Network Development to Support Clinical Care Management. Support efforts to foster a collaborative relationship with network providers, including medical groups and individual providers and associated community leaders. Provide clinical input into network development and relationship management to support internal programs as needed. Travel to community settings and other regional Blue Cross plans for relationship building and information exchange Staff Development. Become an effective member of the health management team, which is responsible for improving the health of plan members. Serve as a role model and coach for ongoing staff development. Enhance team collaboration and assist in conflict resolution. Identify, evaluate and implement new analytical/reporting tools. Optimize health economics data to align with BCBSMN overall health outcomes strategies. Participate with BCBSMN team members in developing forums and other venues to provide opportunities for account education on best practices, utilization of innovative reporting tools, benefit design and health related employee behavior initiatives. Assist the Health Management Division with vendor selection. Communicate effectively across multiple functional areas at BCBSMN to promote awareness, synergy and cooperation and ensure organizational objectives are achieved. Accountabilities NOT LISTED-edited for each posting Requirements Accepting this director level position at BCBSMN requires signing an Agreement Regarding Non-Disclosure of Confidential Information and Non-Competition as a condition of employment Board certification in Internal Medicine, Family Practice or appropriate area Unencumbered license to practice medicine in Minnesota 5 years clinical experience plus 3 years administrative or managed care experience Demonstrated success in driving new business, account retention and customer satisfaction within the large employer group sector Ability to establish trust and credibility with Key Account representatives, consultants and at all lev

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