Your Role

The Medical Management team ensures that Blue Shield is on the cutting edge of medical, medication, and payment policy to accelerate the emergence of a value-based health care system in California. The Vision Director will report to the Medical Director, Operations. In this role you will provide leadership and guidance on vision program specialty for Blue Shield of California.

The Vision Director provides clinical expertise and consultative support to the organization related to vision. They are responsible for consulting and advising on care management, population health management and all other appropriate areas. Moreover, the Vision Director meaningfully contributes to the Blue Shield of California priorities and transformative initiatives that continue to improve the health and wellbeing of Blue Shield of California members. You will also provide direction and leadership in compliance with state and federal laws and regulatory requirements related to vision specialty.

*Please note that this is a Part-time role

Your Knowledge and Experience

• Doctor of Optometry (OD) degree is required
• Completed Optometry residency training is required
• Active, unrestricted Optometry license in the state of California is required
• Maintain Board certification in Optometry through American Board of Optometry (ABO) is required
• Minimum 5 years direct patient care experience post residency is required
• 5 years' experience in managed care that can contribute to utilization management, case management, and/or quality improvement activities or other health care administrative operations at the IPA or health plan level is preferred
• Knowledge of Medicare, California statutes and regulations including DMHC. Understanding of NCQA accreditation standards
• Knowledge of the wide ranges of psychosocial challenges, social determinants, and social needs
• An ability to work independently to achieve objectives and resolve issues in ambiguous circumstances
• Clear, compelling communication skills with demonstrated ability to motivate, guide, influence, and lead others, including the ability to translate detailed analytic analysis and complex materials into compelling communications
• Strong collaboration skills to effectively work within a team that may consist of diverse individuals who bring a variety of different skills ranging from medical to project management and more
• Excellent written and verbal communication skills
• Excellent analytical, time management and organizational skills
• Proficient with computer programs such as Microsoft Excel, Outlook, Word, and PowerPoint

Pay Range:

The pay range for this role is: $190,000.00 to $326,000.00 for California.

Note:

Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.