Elevance Health

Performance Medical Director

Elevance Health

full-time

Posted on:

Location Type: Hybrid

Location: Indianapolis • California • Maryland • United States

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Salary

💰 $262,752 - $450,432 per year

Job Level

Lead

About the role

  • Supports the Medical Management staff to ensure timely and consistent responses to members and providers.
  • Provides guidance for clinical operational aspects of a program.
  • Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations.
  • Interprets existing policies or clinical guidelines and develops new policies based on changes in the healthcare or medical arena.
  • Leads, develops, directs and implements clinical and non-clinical activities that impact efficient and effective care.

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)
  • Requires 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.
  • Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • Must follow specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.
Benefits
  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • Paid Time Off
  • merit increases
  • paid holidays
  • medical
  • dental
  • vision
  • short and long term disability benefits
  • life insurance
  • wellness programs
  • financial education resources

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
clinical reviewspolicy interpretationprogram guidanceclinical operationscare implementation
Soft skills
oral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical skills
Certifications
MDDOBoard certificationAmerican Board of Medical SpecialtiesAmerican Osteopathic Association