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Associate Medical Director – Outpatient Rehab
Elevance HealthClinical Operations Associate Medical Director for outpatient rehab at Elevance Health overseeing clinical case reviews and medical necessity determinations. Requires MD or DO with board certification and active medical license.
Posted 5/21/2026full-timeCosta Mesa • California, Illinois • 🇺🇸 United StatesLead💰 $188,051 - $294,910 per yearWebsite
About the role
Key responsibilities & impact- Ensures timely completion of clinical case reviews for their board-certified specialty
- Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested
- Makes medical necessity determinations for grievance and appeals appropriate for their specialty
- Ensures consistent use of medical policies when making medical necessity decisions
- Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation
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
- PM&R Board Certification preferred
- Experience in Inpatient or outpatient rehab
- Experience with Microsoft Office Suite
Benefits
Comp & perks- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical benefits
- dental benefits
- vision benefits
- short and long term disability benefits
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical necessity determinationsclinical case reviewsgrievance and appeals managementpolicy interpretationinpatient rehabilitationoutpatient rehabilitation
Soft Skills
communicationattention to detaildecision making
Certifications
MDDOBoard certificationPM&R Board Certification