Remote Medical Director: Clinical Strategy & Utilization

Elevance Health; Norfolk (VA); Remote; USD 248,000 - 428,000; Full time

Benefits offered by this job

Comprehensive benefits

401(k) + match

Stock purchase plan

Job summary

Elevance Health is hiring a Medical Director to oversee medical services, ensuring quality and cost-effective care within the National Accounts line of business. The role emphasizes clinical leadership, program development, and strategic guidance across clients and members.

The position supports virtual work with required in-person training sessions, and involves collaboration with external clients and internal committees to improve quality and outcomes.

Qualifications

• MD/DO with ABMS or AOA board certification is required.
• Active unrestricted medical license to practice medicine or health profession.
• Minimum of 10 years of clinical experience or equivalent combination of education and experience.

Responsibilities

• Oversee medical services administration to ensure cost-effective, high-quality care.
• Provide clinical consultation and serve as a clinical/strategic advisor to enhance operations.
• Identify cost-of-care opportunities to increase value for clients and members.
• Conduct peer-to-peer clinical reviews with attending physicians to discuss determinations.
• Lead and implement clinical activities impacting quality, cost, and outcomes.

Skills

Utilization management

Clinical leadership

Peer-to-peer reviews

Strategic advisory

Program development

Education

MD/DO with ABMS/AOA board certification

Job description

Elevance Health is hiring a Medical Director to oversee medical services, ensuring quality and cost-effective care within the National Accounts line of business. The role emphasizes clinical leadership, program development, and strategic guidance across clients and members.

The position supports virtual work with required in-person training sessions, and involves collaboration with external clients and internal committees to improve quality and outcomes.