Medical Director – Oncology

Elevance Health

Appeals Medical Director managing oncology appeal reviews for a health company. Leading clinical operations and ensuring quality and cost-effective medical care.

Posted 4/29/2026full-timeChicago • Illinois • 🇺🇸 United StatesLead💰 $247,840 - $446,112 per yearWebsite

About the role

Key responsibilities & impact

responsible for the appeal reviews for physical 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

Requirements

What you’ll need

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
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
For Health Solutions and Carelon organizations, minimum of 5 years of experience providing health care is required
Board certification in Oncology or Hematology and Oncology strongly preferred
Utilization Management or Appeals experience preferred

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase and 401k contribution
paid holidays
Paid Time Off
medical, dental, vision, short and long-term disability benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical consultationquality improvementcost managementoutcomes analysisutilization managementappeals process

Soft Skills

strategic advisingclinical operations enhancement

Certifications

MDDOBoard certificationAmerican Board of Medical Specialties (ABMS)American Osteopathic Association (AOA)Board certification in OncologyBoard certification in Hematology and Oncology