About the role

  • Medical Director at Elevance Health responsible for the administration of healthcare services and improving quality outcomes. Ensuring efficient cost-effective medical care and supporting clinicians in their roles.

Responsibilities

  • Administration of physical and/or behavioral health medical services
  • Ensure appropriate and most 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 to enhance clinical operations
  • Identify cost of care opportunities
  • Serve as a resource to staff including Medical Director Associates
  • Responsible for an entire clinical program
  • Supports clinicians to ensure timely and consistent responses to members and providers
  • Provides guidance for clinical operational aspects of a program
  • Serves as a resource and consultant to other areas of the company
  • May be required to represent the company to external entities and/or serve on internal and/or external committees
  • Interprets medical policies and clinical guidelines

Requirements

  • Requires MD/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
  • Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
  • Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
  • MAC experience is preferred
  • Medicare Fee For Service experience is preferred
  • OBGYN, Primary care or Internal Medicine

Benefits

  • merit increases
  • paid holidays
  • Paid Time Off
  • incentive bonus programs
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • 401(k) +match
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Medical Director

Job type

Experience level

Lead

Salary

Not specified

Degree requirement

Professional Certificate

Location requirements

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