Remote Medical Director - National Accounts Clinical Ops

Elevance Health; Latham (NY); A distancia; USD 248.000 - 428.000; Jornada completa

Descripción de la vacante

Elevance Health is seeking a Medical Director to oversee medical services for national accounts, with a focus on quality, cost, and outcomes. This role is remote, with required in-person training sessions and occasional site visits.

You will provide clinical consultation, guide utilization management, peer reviews, and strategic advisory to improve clinical operations for large employer clients. Requires MD/DO, ABMS/AOA board certification, active medical license, and 10+ years of clinical

Formación

• MD/DO with ABMS or AOA board certification and an active medical license.
• Minimum 10 years of clinical experience or an equivalent education/experience mix.
• Candidates must be within reasonable commuting distance or eligible for accommodation per policy.

Responsabilidades

• Oversee clinical operations and provide utilization management guidance for national accounts.
• Conduct peer-to-peer clinical reviews with attending physicians.
• Develop and implement programs to improve quality, cost, and outcomes.
• Serve as clinical consultant and advisor to external clients and internal teams.
• Represent Elevance Health to clients and committees.

Conocimientos

MD/DO

Board certification

Active medical license

Clinical experience

Educación

MD/DO

ABMS/AOA board certification

Descripción del empleo

Elevance Health is seeking a Medical Director to oversee medical services for national accounts, with a focus on quality, cost, and outcomes. This role is remote, with required in-person training sessions and occasional site visits.

You will provide clinical consultation, guide utilization management, peer reviews, and strategic advisory to improve clinical operations for large employer clients. Requires MD/DO, ABMS/AOA board certification, active medical license, and 10+ years of clinical