Associate Medical Director- Post Acute Care

Elevance Health; Los Angeles (CA); A distancia; USD 180.000 - 308.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Sign-on bonus

Remote work option

Descripción de la vacante

Elevance Health is seeking a Clinical Operations Associate Medical Director to support post-acute care medical management. The role offers remote work with required in-person training, and a $10,000 sign-on bonus.

An MD or DO with ABMS/AOA board certification is required, plus an active unrestricted medical license. Salary ranges from $179,503 to $307,732 annually; schedule 11:00AM–8:00PM CT with one weekend per month, and remote work is available, with some locations requiring commuting

Formación

• Requires MD or DO and Board certification approved by ABMS or AOA.
• Must possess an active unrestricted medical license.
• 3 years of clinical experience post residency; inpatient post-acute care preferred.
• Board certified in Physical Medicine and Rehab is preferred.

Responsabilidades

• Supports medical management staff to ensure timely, consistent medical decisions for members and providers.
• Completes clinical case reviews timely for board-certified specialties.
• Makes physician-to-physician calls to gather information for medical necessity determinations.
• Ensures medical necessity decisions align with medical policies.
• Escalates cases requiring Medical Director review or policy interpretation.

Conocimientos

Medical decision making

Clinical management

Communication with physicians

Educación

MD or DO with ABMS/AOA board certification

Descripción del empleo

Sign on bonus: $10, 000

Clinical Operations Associate Medical Director

Post Acute Care Benefit Utilization Management

Schedule: 11:00AM-8:00PM CT. Will also require one weekend coverage shift a month.

• Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Sign on bonus: $10, 000

Clinical Operations Associate Medical Director

Carelon Medical Benefits Management

Post Acute Care Benefit Utilization Management

Schedule: 11:00AM-8:00PM CT. Will also require one weekend coverage shift a month.

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

• Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.

Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.

The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.

How You Will Make An Impact

• Ensures timely completion of clinical case reviews for their board certified specialty.
• Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested.
• Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
• Ensures consistent use of medical policies when making medical necessity decisions.
• Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.

Minimum Requirements

• Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
• Must possess an active unrestricted medical license to practice medicine or a health profession.

Preferred Experience, Qualifications, And Capabilities

• 3 years of clinical experience post residency. Preferably in inpatient post-acute care
• Board certified in Physical Medicine and Rehab is preferred.

For candidates working in person or vitually in the below location(s), the salary* range for this specific position is $179,503 to $307,732.

Locations:

California, Illinois, Nevada, Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

#EHS