Remote Medical Director - Clinical Strategy & Oversight

Elevance Health; St. Louis (MO); Remote; USD 248,000 - 428,000; Full time

Job summary

Elevance Health is seeking a Medical Director to oversee medical services for members in a virtual, flexible work model. This leadership role operates within the National Accounts line of business, serving major clients and lives across the nation.

The position emphasizes cost-effective, high-quality care and strategic clinical guidance. The Medical Director may develop programs to improve outcomes, provide clinical consultation, and identify cost-of-care opportunities that add client value.

Qualifications

• MD/DO with board certification required and active unrestricted license.
• Minimum of 10 years of clinical experience or equivalent background.
• Experience in utilization review and health plan operations preferred.

Responsibilities

• Administer medical services to ensure cost-effective, quality care.
• Develop and implement programs to improve quality, cost and outcomes.
• Provide clinical consultation and serve as a clinical/strategic advisor.
• Identify opportunities to increase value for clients and members.
• Conduct peer-to-peer clinical reviews and participate in committees.
• Support care management nursing staff and guide clinical operations.

Skills

Utilization review

Clinical leadership

Healthcare operations

Mentoring/peer review

Education

MD/DO with ABMS/AOA board certification

Job description

Elevance Health is seeking a Medical Director to oversee medical services for members in a virtual, flexible work model. This leadership role operates within the National Accounts line of business, serving major clients and lives across the nation.

The position emphasizes cost-effective, high-quality care and strategic clinical guidance. The Medical Director may develop programs to improve outcomes, provide clinical consultation, and identify cost-of-care opportunities that add client value.