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Elevance Health

Medical Director – Physical Medicine and Rehabilitation

Elevance Health

Medical Director overseeing Physical Medicine and Rehabilitation at Elevance Health. Leading clinical evaluations for DME services and ensuring quality care outcomes.

Posted 6/17/2026full-timeAtlanta • California, Maryland, Massachusetts, New Jersey, New York, Ohio, Virginia • 🇺🇸 United StatesLead💰 $247,840 - $446,112 per yearWebsite

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
  • Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations
  • Serves as a resource and consultant for other areas of the company
  • May chair company committees
  • Interprets medical policies and clinical guidelines
  • Identifies and develops opportunities for innovation to increase effectiveness and quality

Requirements

What you’ll need
  • Requires MD or DO and Board certification approved by the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA)
  • Must possess an active unrestricted medical license to practice medicine
  • 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 (including behavioral health) only, minimum of 5 years of experience providing health care is required
  • Utilization management (UM) experience preferred
  • Board certification in Physical Medicine and Rehabilitation strongly preferred

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 reviewsmedical policies interpretationclinical guidelines interpretationutilization management
Soft Skills
consultationleadershipinnovationcommunication
Certifications
MDDOBoard certificationactive unrestricted medical license