Virtual Medical Director - Quality & Strategy

Elevance Health; Las Vegas (NV); Remote; USD 248,000 - 428,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) + match

Stock purchase plan

Paid time off

Job summary

Elevance Health's Medical Director role offers national scope with remote work options. You will oversee medical services for large employer clients, guide clinical operations, and identify cost-of-care opportunities to improve value for members.

Requires MD/DO, board certification, active license, and 10+ years of clinical experience. Preferred candidates have health plan utilization experience and be able to influence program development, quality initiatives, and innovation across client

Qualifications

• MD/DO with active license and board certification required.
• Minimum of 10 years of clinical experience or equivalent background.
• Experience with utilization management or health plan operations preferred.

Responsibilities

• Oversee medical services for members to ensure high-quality, cost-effective care.
• Develop programs to improve quality, cost, and outcomes for national accounts.
• Provide clinical consultation and advise on clinical operations for clients.
• Conduct peer reviews and manage clinical policy interpretation and implementation.

Skills

Utilization management

Clinical operations

Peer-to-peer reviews

Clinical consultation

Education

MD/DO degree

Board certification

Job description

Elevance Health's Medical Director role offers national scope with remote work options. You will oversee medical services for large employer clients, guide clinical operations, and identify cost-of-care opportunities to improve value for members.

Requires MD/DO, board certification, active license, and 10+ years of clinical experience. Preferred candidates have health plan utilization experience and be able to influence program development, quality initiatives, and innovation across client