Medical Director, PM&R & DME Utilization

The Elevance Health Companies, Inc.; Atlanta (GA); Hybrid; USD 180,000 - 260,000; Full time

Job summary

Elevance Health is seeking a Medical Director in Physical Medicine and Rehabilitation to lead clinical reviews and guidance across a distributed team. This role focuses on evaluating high-cost DME requests, ensuring appropriate services, and collaborating across multiple states with cross-functional teams.

The position requires strong leadership, policy interpretation, and the ability to communicate effectively with physicians, providers, and internal stakeholders.

Qualifications

• Requires MD or DO and board certification by ABMS or AOA where applicable.

Responsibilities

• Supports clinicians to ensure timely and consistent responses to members and providers.

Skills

Clinical leadership

Cross-functional collaboration

Policy interpretation

Clinical reviews

Education

MD or DO degree

ABMS/AOA board certification

Job description

Elevance Health is seeking a Medical Director in Physical Medicine and Rehabilitation to lead clinical reviews and guidance across a distributed team. This role focuses on evaluating high-cost DME requests, ensuring appropriate services, and collaborating across multiple states with cross-functional teams.

The position requires strong leadership, policy interpretation, and the ability to communicate effectively with physicians, providers, and internal stakeholders.