Medical Director Associate
Medical Director Associate
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Anticipated End Date:
Position Title:
Medical Director AssociateJob Description:
Medical Director Associate
Location: Hybrid 2: This role requires associates to be inoffice 3 days per week fostering collaboration and connectivity while providing flexibility to support productivity and worklife balance. This approach combines structured office engagement with the autonomy of virtual work promoting a dynamic and adaptable workplace. Alternate locations may be considered.
The Medical Director Associate is responsible for providing daytoday guidance support and leadership for clinical and/or quality activities under the guidance of a Medical Director. May be responsible for supporting one or more Medical Directors in ensuring clinical integrity of broad and significant clinical programs. May perform clinical review.
How you will make an impact:
May provide clinical guidance for programs.
Supports clinicians to ensure timely and consistent responses to members and providers.
Conducts peertopeer clinical reviews with attending physicians or other ordering providers to discuss review determinations and patients office visits with providers and external physicians.
May conduct peertopeer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
May participate in a physician oncall rotation for a 24x7 unit.
May assist in the practitioner appeal reviews appropriateness criteria reviews medical technology assessments setting and implementing QI initiatives and practitioner/provider credentialing.
Under direction may be responsible for the administration of medical services for company health plans including medical policies.
Serves as a resource and consultant to other areas of the company.
May interpret existing medical policy.
May be required to represent the company to external entities and/or serve on internal and/or external committees.
Minimum Requirements:
Requires MD or DO and Board certification approved by one of the following certifying boards is required where applicable to duties being performed American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Unless expressly allowed by state or federal law or regulation must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base vessel or any embassy located in or outside of the US.
Minimum of 5 years of clinical experience; or any combination of education and experience which would provide an equivalent background.
Job Level:
Director EquivalentWorkshift:
1st Shift (United States of America)Job Family:
MED > Licensed Physician/Doctor/DentistPlease be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes including those submitted to hiring managers are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy power our business outcomes and drive our shared success for our consumers our associates our communities and our business.
We offer a range of marketcompetitive total rewards that include merit increases paid holidays Paid Time Off and incentive bonus programs (unless covered by a collective bargaining agreement) medical dental vision short and long term disability benefits 401(k) match stock purchase plan life insurance wellness programs and financial education resources to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager associates are required to work at an Elevance Health location at least once per week and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/memberfacing roles to become vaccinated against COVID19 and Influenza. If you are not vaccinated your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age citizenship status color creed disability ethnicity genetic information gender (including gender identity and gender expression) marital status national origin race religion sex sexual orientation veteran status or any other status or condition protected by applicable federal state or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal state and local laws including but not limited to the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Required Experience:
Director
Employment Type
Full-Time
