[Hiring] Associate Medical Director - Genetic Testing @Elevance Health

Role Description

The Clinical Operations Associate Medical Director will be responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.

• 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.

Qualifications

• Requires MD/DO and board certification approved by one of the following certifying boards: 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.
• Board certified in Family or Internal Medicine strongly preferred.

Requirements

• For candidates working in person or virtually in the below location(s), the salary range for this specific position is $89.78/hr to $147.49/hr.
• Locations: California; Colorado; Illinois; Nevada; Washington State.

Benefits

• Comprehensive benefits package.
• Incentive and recognition programs.
• Equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
• Merit increases, paid holidays, Paid Time Off, and incentive bonus programs.
• Medical, dental, vision, short and long term disability benefits.
• Stock purchase plan, life insurance, wellness programs, and financial education resources.