Promote and support the BlueCross and BlueShield of Louisiana (BCBSLA) Mission Statement
Review treatment procedures and services to ensure that they are within established guidelines or supported by generally accepted medical evidence
Provide direction to operations as applicable, including utilization activities
Facilitate all physician and provider committees as needed
Provide advice on external contractual benefit issues

Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) required
7 years of clinical practice experience is required
3 years of post graduate experience with direct patient care required; prefer 5 years of experience
Administrative experience in a health plan and/or a working knowledge of the insurance industry preferred
Experience with external accreditation bodies; JCAHO, URAC, or NCQA preferred
Medicare Advantage experience is preferred
Excellent communication, presentation, interpersonal and human relation skills are required
Microsoft Office software Word, Excel, Outlook, PowerPoint proficiency required

Medical Director

Key skills