1 day ago Be among the first 25 applicants Get AI-powered advice on this job and more exclusive features. About the opportunity As Senior Medical Director for Utilization Management (UM), you will be an effective change leader and help develop and guide the strategic direction for Utilization Management initiatives at Wellmark. As a leader of others, you will directly impact the success, growth, and development of team members by setting clear expectations, coaching to each team members strengths, and fostering a team-centric work environment. Being a role model in behaviors that demonstrate Wellmarks Leader Success Expectations and inclusion are essential. A top candidate will be a self-directed and results-oriented physician who leads by example to serve as Wellmark's subject matter expert on effective and efficient processes to reduce overuse and improve quality for our members. You will strategically collaborate with the Health Services team and across the organization to develop and maintain accountability for initiatives to reduce overuse with results that are validated by Wellmarks analytical team and are grounded in evidence-based care. Internal + external relationship and trust building is essential for success. About You You believe health care can be better and are passionate about finding ways to influence this important work. You are proactive, analytical, innovative, and partner effectively with internal and external stakeholders. You are a skilled communicator and enjoy collaboration with other cross-functional leaders. You are someone who can pivot easily: from performing UM and appeals case reviews, to driving employee engagement and collaboration amongst your team and others, to strategically partnering to develop new total cost of care (TCOC) initiatives. You enjoy variety in your day. You are confident in your decision-making skills and can jump in to assist the team with utilization management while also leading high-level initiatives. You see yourself as a forward-thinking professional and thrive when your work allows you to tap into your creative side to build impactful work from the ground up. Seniority level Director Employment type Full-time Job function Health Care Provider Industries Business Consulting and Services Hospitals and Health Care Referrals increase your chances of interviewing at Wellmark Blue Cross and Blue Shield by 2x Sign in to set job alerts for Senior Medical Director roles. Were unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI. #J-18808-Ljbffr