Medical Director

Elevance Health

Medical Director for Elevance Health overseeing clinical activities and implementations to improve health care quality. Requires extensive experience and a medical degree for the role.

Posted 5/13/2026full-timeCincinnati • California, Ohio • 🇺🇸 United StatesLead💰 $226,404 - $428,976 per yearWebsite

About the role

Key responsibilities & impact

Have program management responsibilities including clinical policy development
Oversee clinical/non-clinical activities
Responsible for utilization review/management
Develop and implement programs to improve quality, cost, and outcomes
Conduct peer-to-peer clinical reviews with attending physicians
Serve as a resource and consultant to other areas of the company
Interpret medical policies and clinical guidelines
Lead and develop clinical and non-clinical activities

Requirements

What you’ll need

Requires MD or DO and Board certification approved by 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
Strong oral, written, and interpersonal communication skills
Problem-solving skills
Facilitation skills
Analytical skills
Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical policy developmentutilization reviewclinical reviewsprogram developmentquality improvementcost managementoutcomes improvementmedical policy interpretationclinical guidelines interpretation

Soft Skills

oral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical skills

Certifications

MDDOBoard certificationactive unrestricted medical license