Remote Associate Medical Director - Post-Acute Care

The Elevance Health Companies, Inc.; Los Angeles (CA); Hybrid; USD 180,000 - 308,000; Full time

Benefits offered by this job

Sign-on bonus

Hybrid work

Job summary

The Elevance Health Companies, Inc. is seeking an Associate Medical Director - Post Acute Care to support medical management for post-acute services.

The role involves making timely medical decisions, coordinating with care teams, and ensuring policy-driven determinations for members and providers. Requires MD/DO with board certification and an active license, with 3 years of clinical post-residency experience, preferably in inpatient post-acute care.

Qualifications

• MD or DO with ABMS/AOA board certification and an active unrestricted medical license.
• 3 years of clinical experience post-residency; PM&R board certification preferred.
• Experience in inpatient post-acute care is advantageous.

Responsibilities

• Ensure timely and consistent medical decisions for members and providers.
• Perform medical necessity determinations for services, grievances, and appeals.
• Apply medical policies consistently in decision making.

Skills

Medical knowledge

Clinical decision making

Policy interpretation

Communication with providers

Education

MD/DO

Board certification (ABMS/AOA)

Job description

The Elevance Health Companies, Inc. is seeking an Associate Medical Director - Post Acute Care to support medical management for post-acute services.

The role involves making timely medical decisions, coordinating with care teams, and ensuring policy-driven determinations for members and providers. Requires MD/DO with board certification and an active license, with 3 years of clinical post-residency experience, preferably in inpatient post-acute care.