Hybrid Appeals Medical Director – Neurology

Posted 2 weeks ago

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About the role

  • Appeals Medical Director for Elevance Health responsible for clinical reviews in neurology. Ensuring cost-effective medical care through developing quality improvement programs and clinical consultation.

Responsibilities

  • responsible for appeal reviews for physical health medical services
  • ensure appropriate and cost-effective medical care is received
  • develop and implement programs to improve quality, cost, and outcomes
  • provide clinical consultation and serve as clinical/strategic advisor

Requirements

  • Requires MD or DO and Board certification approved by ABMS or AOA
  • Must possess an active unrestricted medical license to practice medicine
  • Minimum of 10 years of clinical experience
  • For Health Solutions and Carelon organizations, minimum of 5 years of experience providing health care required

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution

Job title

Appeals Medical Director – Neurology

Job type

Experience level

Lead

Salary

$247,840 - $446,112 per year

Degree requirement

Postgraduate Degree

Location requirements

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