National Accounts Medical Director

Elevance Health; Grand Prairie (TX); Remote; USD 150,000 - 200,000; Full time

Job summary

A healthcare company is seeking a National Accounts Medical Director to oversee care management models and improve health outcomes. This role offers virtual full-time flexibility while requiring in-person training. Responsibilities include providing clinical expertise, managing utilization trends, and supporting product strategy. Candidates must be within a reasonable commuting distance to the posting location.

Qualifications

• Strong clinical expertise in utilization review and case management.
• Ability to identify and manage medical utilization trends.
• Experience in supporting product strategy through medical management.

Responsibilities

• Serve as Operational Medical Director for care management models.
• Support clinical vision and implementation to improve health outcomes.
• Provide clinical expertise on utilization and account reporting.

Job description

Overview

National Accounts Medical Director

Location: 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. 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. Alternate locations may be considered.

The National Accounts Medical Director is responsible for serving as the Operational Medical Director for our care management models for our National Account clients. The medical director will be responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve. The medical director supports product strategy / design through medical management that impact health care quality, cost, and outcomes, and improving access to the health improvement tools offered to clients / members.

The medical director provides clinical expertise in all aspects of utilization review and case management. Provides input on the clinical relevance to account reporting regarding use of medical services by members. Involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members. Responsible for proactively identifying and solutioning with account management, Sales RVP Medical Directors.