Remote Medical Director – Clinical Strategy & Innovation

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

Benefits offered by this job

Comprehensive benefits package

Equity stock purchase plan

401(k) contribution

Job summary

Elevance Health, Inc. seeks a Medical Director – Ameriben to oversee medical services, drive quality and cost-effective care, and advise clinical operations. Remote-friendly with in-person onboarding. Ideal location in MTZ, but other time zones considered.

The role involves clinical leadership, program development, and collaboration with external providers, committees, and policy interpretation to advance patient outcomes.

Qualifications

• MD/DO with board certification from ABMS or AOA
• Active unrestricted medical license required

Responsibilities

• Supports clinicians to ensure timely and consistent responses to members and providers.
• Provides guidance for clinical operational aspects of a program.
• Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations and patients’ office visits with providers and external physicians.
• Serves as a resource and consultant to other areas of the company.
• Represents the company to external entities and/or serve on internal and/or external committees.
• Chairs company committees.
• Interprets medical policies and clinical guidelines.
• Develop and propose new medical policies based on changes in healthcare.
• Leads, develops, directs, and implements clinical and non-clinical activities that impact healthcare quality, cost, and outcomes.
• Identifies and develops opportunities for innovation to increase effectiveness and quality.
• Evening and Weekend coverage on an equal rotation.

Job description

Elevance Health, Inc. seeks a Medical Director – Ameriben to oversee medical services, drive quality and cost-effective care, and advise clinical operations. Remote-friendly with in-person onboarding. Ideal location in MTZ, but other time zones considered.

The role involves clinical leadership, program development, and collaboration with external providers, committees, and policy interpretation to advance patient outcomes.