Medical Director – Post Acute Care

🕒 October 22

🇺🇸 United States – Remote

💵 $10k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Elevance Health

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

⚕️ Healthcare Insurance

🤝 B2B

Healthcare • Healthcare Insurance • B2B

Elevance Health is transforming from a traditional health benefits organization into a lifetime trusted health partner, driven by a bold purpose to improve the health of humanity. With nearly 100,000 associates, they serve over 118 million people and utilize an integrated whole health approach supported by industry-leading capabilities and a digital health platform. Their mission includes redefining health, reimagining the health system, and strengthening communities.

📋 Description

• Support medical management staff in ensuring timely and consistent medical decisions for members and providers • Complete clinical case reviews for the relevant board-certified specialty • Conduct physician-to-physician calls to gather medically appropriate information for medical necessity determinations • Make medical necessity determinations for grievances and appeals within the applicable specialty • Apply company medical policies consistently when making medical necessity decisions • Escalate case review decisions requiring Medical Director review or policy interpretation to supervisors

🎯 Requirements

• MD/DO required • Board certification approved by the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA), where applicable to duties performed • Active unrestricted medical license to practice medicine or a health profession • Minimum 1 year of experience with clinical case reviews for medical necessity; waived for Cardiology, Oncology, and Interventional Pain specialties • Board certification in a medical specialty required • Board certification in Physical Medicine and Rehab preferred • Candidates must be within a reasonable commuting distance of the posting location(s), unless an accommodation is granted as required by law • New candidates in certain patient/member-facing roles must become vaccinated against COVID-19 and Influenza, unless an acceptable explanation is provided

🏖️ Benefits

• Sign-on bonus: $10,000 • Part-time options with at least one weekend day per week • Virtual full-time work with required in-person training sessions • Maximum flexibility and autonomy • Merit increases • Paid holidays • Paid Time Off • Incentive bonus programs • Medical benefits • Dental benefits • Vision benefits • Short-term disability benefits • Long-term disability benefits • 401(k) with company match • Stock purchase plan • Life insurance • Wellness programs • Financial education resources

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