Remote Medical Director: Clinical Strategy & Quality

Elevance Health; Severn (MD); Remote; USD 248,000 - 428,000; Full time

Job summary

Elevance Health is seeking a Medical Director to lead medical services administration for national accounts. The role is virtual full-time with required in-person training, offering flexibility and autonomy while ensuring onboarding and skill development.

Alternate locations may be considered. The Medical Director will develop programs to improve quality, cost, and outcomes; provide clinical consultation; act as a strategic advisor to enhance clinical operations; and identify cost-of-care

Qualifications

• MD/DO with board certification required; active unrestricted medical license to practice medicine or health profession.
• Minimum of 10 years of clinical experience or equivalent education/experience background.

Responsibilities

• Owns and oversees utilization management activities for national client(s).
• Provides clinical guidance for operational aspects for clients.
• Conducts peer-to-peer clinical reviews with attending physicians to discuss determinations.
• Develops and implements programs to improve quality, cost, and outcomes.
• Serves as a clinical and strategic advisor to enhance clinical operations.
• Identifies opportunities for innovation to increase effectiveness and quality.

Skills

Utilization management

Clinical operations guidance

Peer-to-peer reviews

Clinical consultation

Education

MD/DO with board certification

Job description

Elevance Health is seeking a Medical Director to lead medical services administration for national accounts. The role is virtual full-time with required in-person training, offering flexibility and autonomy while ensuring onboarding and skill development.

Alternate locations may be considered. The Medical Director will develop programs to improve quality, cost, and outcomes; provide clinical consultation; act as a strategic advisor to enhance clinical operations; and identify cost-of-care