Remote Medical Director — Clinical Ops & Innovation

Elevance Health, Inc.; Denver (CO); Remote; USD 273,000 - 428,000; Full time

Job summary

Elevance Health seeks a Medical Director – Ameriben to oversee medical services, drive cost-effective care, and advise on clinical operations across a broad program portfolio. The role emphasizes provider collaboration, policy development, and leadership in quality initiatives.

Ideal candidates will bring ABMS/AOA board certification, 10+ years of clinical experience, and experience with utilization management.

Qualifications

• MD/DO with ABMS/AOA board certification and active license.
• Minimum 10 years of clinical experience or equivalent.
• Experience in utilization management preferred.

Responsibilities

• Lead clinical programs to improve quality and cost outcomes.
• Provide clinical consultation to enhance operations.
• Perform peer-to-peer reviews with providers.

Skills

Utilization management

Clinical guidance

Peer reviews

Staff mentorship

Committee leadership

Education

MD/DO with board certification

Tools

MCG

Carelon

Anthem criteria

Job description

Elevance Health seeks a Medical Director – Ameriben to oversee medical services, drive cost-effective care, and advise on clinical operations across a broad program portfolio. The role emphasizes provider collaboration, policy development, and leadership in quality initiatives.

Ideal candidates will bring ABMS/AOA board certification, 10+ years of clinical experience, and experience with utilization management.