Medical Director

Utilization ManagementFull-Time

Listed compensation

$214k-$298k

Confirm guaranteed pay, incentives and eligibility with the employer.

Employment & setting
Full-Time
Call expectations
Not specified
Weekends
Not specified
Posted 7h ago · Verified live

Job description

Join Horizon Blue Cross Blue Shield of New Jersey as a Medical Director in Newark, New Jersey, United States. Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years, we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience.

Benefits & Compensation

  • Salary: $214,100 - $297,885
  • Comprehensive health benefits (Medical/Dental/Vision)
  • Retirement Plans
  • Generous PTO
  • Incentive Plans
  • Wellness Programs
  • Paid Volunteer Time Off
  • Tuition Reimbursement

Work Schedule

  • Full-Time position.
  • No explicit call, weekend, or night shift information provided.

This position offers competitive compensation. Work with Horizon Blue Cross Blue Shield of New Jersey in Newark, New Jersey, United States.

Key Responsibilities

The Medical Director provides clinical leadership and oversight for utilization, care, and quality management programs within an assigned region. They collaborate with cross-functional teams to support provider relations, medical policy development, and operational effectiveness.

Requirements

Candidates must hold an active, unrestricted MD or DO license in New Jersey and be board certified in an ABMS or AOA recognized specialty. The role requires 5-7 years of clinical experience and proficiency in data analysis tools like Tableau.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

Board Certification

Key Skills

Utilization managementCase managementStrategic planningRegulatory complianceEvidence-based medicineConflict resolutionExecutive presenceNegotiationMatrix management

Utilization Management — Physician Career Context

Physician pay on WeekdayDoc is up 9.1% vs. the prior quarter (through Aug 2026).

The cost-of-living index for New Jersey is 108.8 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$256k midpoint carries the purchasing power of roughly $235k in an average-cost state. 63.8% of New Jersey clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

Top Utilization Management Jobs

2 matches · ranked by pay
#1

Physician Advisor

Ensemble Health Partners · Ohio

$198k-$297k
#2

Physician Advisor, Care Progression, Sutter Delta Medical Center

Sutter Health · Antioch, California

$136k-$218k

Work-life snapshot

1.5/ 10
Listing-based score

A signal to investigate—not a guarantee about the workplace.

Horizon Blue Cross Blue Shield of New Jersey logo

About Horizon Blue Cross Blue Shield of New Jersey

Insurance
Newark, NJ
5,001-10,000 employees

Benefits & Perks

Comprehensive health benefits (Medical/Dental/Vision)
Retirement Plans
Generous PTO
Incentive Plans
Wellness Programs
Paid Volunteer Time Off
Tuition Reimbursement