Remote Medical Director - Clinical Operations & Strategy

Elevance Health; Indianapolis (IN); Remote; USD 248,000 - 428,000; Full time

Job summary

Elevance Health is hiring a Medical Director to lead medical services for national accounts in a virtual setting. The role involves developing programs to improve quality and value, advising on clinical operations, and guiding utilization management across large client groups.

Candidates should hold an MD/DO with ABMS/AOA certification and an unrestricted license. Salary ranges by location are noted, and flex/alternate locations may be considered.

Qualifications

• MD/DO with board certification approved by ABMS or AOA and active unrestricted medical license.
• Minimum of 10 years of clinical experience or equivalent background.

Responsibilities

• Oversee medical services administration to ensure cost‑effective, quality care for members.
• Develop and implement programs to improve quality, cost and outcomes for client plans.
• Provide clinical consultation and serve as a clinical/strategic advisor for operations.
• Identify opportunities to enhance utilization management and clinical processes.
• Conduct peer‑to‑peer reviews with attending physicians to inform determinations.

Skills

Utilization management

Clinical consultation

Clinical operations

Peer-to-peer reviews

Program development

Education

MD/DO with ABMS/AOA board certification

Job description

Elevance Health is hiring a Medical Director to lead medical services for national accounts in a virtual setting. The role involves developing programs to improve quality and value, advising on clinical operations, and guiding utilization management across large client groups.

Candidates should hold an MD/DO with ABMS/AOA certification and an unrestricted license. Salary ranges by location are noted, and flex/alternate locations may be considered.