Remote Medical Director — Clinical Strategy & Innovation

The Elevance Health Companies, Inc.; Meridian (ID); À distance; USD 273 000 - 428 000; Plein temps

Avantages offerts par ce poste

Hybrid/remote work policy

Résumé du poste

Elevance Health seeks a Medical Director to lead medical services, guide clinical operations, and identify opportunities to improve quality and cost outcomes. The role supports clinicians, chairs committees, and interprets policies across the organization.

Ideal candidates have MD/DO with board certification and extensive clinical experience. The position is remote with occasional in-person sessions; salary ranges vary by included locations.

Qualifications

• MD/DO medical degree required with active license.
• Board certification required by certifying board (ABMS or AOA).
• Minimum of 10 years of clinical experience or equivalent background.

Responsabilités

• Oversee medical services administration to ensure cost-effective, quality care.
• Develop and implement programs to improve quality, cost, and outcomes.
• Provide clinical consultation and strategic advice to enhance operations.

Connaissances

Utilization management

MCG criteria

Carelon criteria

Anthem criteria

Oncology reviews

Genetic testing reviews

Musculoskeletal reviews

Formation

MD/DO degree or equivalent

Board certification (ABMS/AOA)

Description du poste

Elevance Health seeks a Medical Director to lead medical services, guide clinical operations, and identify opportunities to improve quality and cost outcomes. The role supports clinicians, chairs committees, and interprets policies across the organization.

Ideal candidates have MD/DO with board certification and extensive clinical experience. The position is remote with occasional in-person sessions; salary ranges vary by included locations.