Virtual Medical Director: Clinical Ops & Innovation

Elevance Health; Louisville (KY); Remote; USD 248.000 - 428.000; Vollzeit

Zusammenfassung

Elevance Health is seeking a Medical Director to lead medical services administration for national accounts, with focus on quality, cost and outcomes. The role supports clinical operations, provides expert consultation, and identifies cost-of-care opportunities to increase value for clients and members.

The position is remote/virtual with required in-person trainings and potential alternate locations. Candidates should have MD/DO, board certification, active license, and 10+ years of clinical

Qualifikationen

• MD/DO with ABMS or AOA board certification and active unrestricted medical license.
• Minimum of 10 years of clinical experience.
• Experience with utilization management and clinical operations in a health plan environment.
• Ability to work remotely with occasional in-person training.

Aufgaben

• Works independently with oversight from the immediate manager.
• Provides guidance for clinical operational aspects for national client(s).
• Conducts peer-to-peer clinical reviews with attending physicians to discuss determinations.
• Represents Elevance Health to external clients and committees.
• Directs and implements clinical activities impacting quality, cost, and outcomes.
• Identifies opportunities for innovation to increase effectiveness and quality.

Kenntnisse

Clinical leadership

Utilization management

Regulatory compliance

Ausbildung

MD/DO with ABMS/AOA board certification

Jobbeschreibung

Elevance Health is seeking a Medical Director to lead medical services administration for national accounts, with focus on quality, cost and outcomes. The role supports clinical operations, provides expert consultation, and identifies cost-of-care opportunities to increase value for clients and members.

The position is remote/virtual with required in-person trainings and potential alternate locations. Candidates should have MD/DO, board certification, active license, and 10+ years of clinical