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Medical Director – Post Acute Care
Elevance HealthMedical Director overseeing clinical operations in Post Acute Care at Elevance Health. Ensuring timely medical decisions and adherence to medical necessity policies while leading a clinical management team.
About the role
Key responsibilities & impact- Supports medical management staff ensuring timely and consistent medical decisions
- Ensures timely completion of clinical case reviews for board certified specialty
- Makes physician to physician calls to gather medical appropriate information for medical necessity determinations
- Makes medical necessity determinations for grievance and appeals appropriate for their specialty
- Ensures consistent use of company medical policies when making medical necessity decisions
- Brings to supervisors attention any case review decisions that require Medical Director review or policy interpretation
Requirements
What you’ll need- Requires MD/DO and Board certification approved by ABMS or AOA
- Must possess an active unrestricted medical license to practice medicine or a health profession
- Minimum of 1 year of experience with clinical case reviews for medical necessity
- Board certification in a medical specialty required
Benefits
Comp & perks- Sign on bonus: $10,000
- Flexible work arrangements
- Competitive salary and total rewards package including merit increases, paid holidays, and Paid Time Off
- Incentive bonus programs
- Health insurance
- Dental and vision plans
- Short and long term disability benefits
- 401(k) plan with match
- 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
Clinical Case ReviewsMedical Necessity DeterminationsGrievance and Appeals ManagementPolicy Interpretation
Soft Skills
Effective CommunicationAttention to Detail
Certifications
Board Certification Approved by ABMS or AOA