Sr. Medical Director, FEP Utilization Management

Sr. Medical Director, FEP Utilization Management at Blue Shield of California summary: The Senior Medical Director of FEP Utilization Management leads clinical review activities, physician process management, and ensures compliance with medical, medication, and payment policies for Federal Employee Program members at Blue Shield. This role oversees utilization management operations including prior authorization, post-service reviews, appeals, and grievances, while driving strategic initiatives …