Medical Director, Utilization Management - Commercial Prior Authorization Review
BSCLong Beach, California, United States • Lodi, California, United States • Oakland, California, United States • California, United States • Redding, California, United States • San Diego, California, United States • Los Angeles, California, United States • El Dorado Hills, California, United States
Posted May 26, 2026
Full Time
About the Company
BSC is an emerging corporate communications firm specializing in strategic messaging, public relations, and media outreach. With a strong focus on developing tailored communication strategies for businesses across various industries, BSC aims to enhance brand visibility and reputation through effective storytelling and impactful campaigns.
Job Description
The Medical Director, Utilization Management - Commercial Prior Authorization Review will deliver and collaborate on clinical review activities, including management of physician processes and transactional functions for Blue Shield of California members.
Requirements
- Complete assigned clinical reviews within compliance standards
- Collaborate with nurse reviewer teams in implementing initiatives
- Serve as a clinical, regulatory and quality improvement resource and thought leader
- Support strategic initiatives and participate in Committees
Benefits
- Competitive salary
- Opportunities for growth and professional development
- Collaborative work environment
- Flexible work arrangements