Virtual Medical Director — Clinical Ops & Quality Leader

Elevance Health; Chicago (IL); Remote; USD 248,000 - 428,000; Full time

Benefits offered by this job

Comprehensive benefits

Stock purchase plan

401k matching

Job summary

Elevance Health seeks a Medical Director to oversee medical services for national accounts in a virtual capacity with essential in-person training. The role emphasizes quality, cost-effectiveness, and strategic clinical guidance across large client engagements.

You will lead utilization management, guide clinical operations, and perform peer reviews while collaborating with external clients and internal committees.

Qualifications

• MD/DO with board certification per certifying boards.
• Active, unrestricted medical license to practice medicine.
• Minimum 10 years of clinical experience or equivalent background.

Responsibilities

• Administer medical services to ensure cost-effective, quality care.
• Provide clinical consultation and advise on operations.
• Conduct peer-to-peer reviews and guidance on clinical policy.
• Lead utilization management and support care management staff.

Skills

Clinical leadership

Utilization review

Peer-to-peer reviews

Education

MD/DO board-certified

Job description

Elevance Health seeks a Medical Director to oversee medical services for national accounts in a virtual capacity with essential in-person training. The role emphasizes quality, cost-effectiveness, and strategic clinical guidance across large client engagements.

You will lead utilization management, guide clinical operations, and perform peer reviews while collaborating with external clients and internal committees.