Medical Director, Utilization Management - Promise
BSCOakland, California, United States • Long Beach, California, United States • El Dorado Hills, California, United States • California, United States • San Diego, California, United States • Los Angeles, California, United States
Posted May 4, 2026
Full Time
About the Company
Blue Shield Promise Health Plan is committed to transforming health care delivery and improving the quality of patient care.
Job Description
The Medical Director, Utilization Management position provides clinical leadership within the Blue Shield Promise Health Plan, overseeing clinical processes and utilization management. The role serves as a role model for clinical staff and is responsible for promoting quality improvement and continuous learning.
Requirements
- MD or DO degree from an accredited medical school
- Current California medical licensure
- Board certification in a clinical specialty
- Minimum of 5 years of experience in healthcare leadership or management
- Demonstrated expertise in medical management, utilization review, and quality improvement
Benefits
- Comprehensive health insurance
- Retirement plan
- Generous paid time off
- Tuition reimbursement
- Professional development opportunities