Medical Director – Medicare Fee for Service

Elevance Health

Medical Director overseeing Medicare Fee for Service, ensuring effective administration of health services. Leading clinical consultation and program development for Elevance Health staff.

Posted 6/10/2026full-timeIndianapolis • Florida, Kentucky, Texas • 🇺🇸 United StatesLeadWebsite

About the role

Key responsibilities & impact

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
May chair company committees
Interprets medical policies and clinical guidelines
May develop and propose new medical policies based on changes in healthcare
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes
Identifies and develops opportunities for innovation to increase effectiveness and quality

Requirements

What you’ll need

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
Analytical skills
MAC experience is a plus
Medicare Fee For Service experience is a plus
Board certification in internal medicine, family medicine, hospice/palliative care, or geriatrics is preferred

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical experiencemedical policy interpretationhealthcare quality improvementinnovation development

Soft Skills

oral communicationwritten communicationinterpersonal communicationproblem-solvingfacilitationanalytical

Certifications

MDDOBoard certificationactive unrestricted medical license