Associate Medical Director - Physical Medicine and Rehab/Post Acute Care

Anticipated End Date : 2025-02-27

Position Title : Associate Medical Director - Physical Medicine and Rehab / Post Acute Care

Job Description :

Clinical Operations Associate Medical Director

Carelon Medical Benefits Management

Location : Alternate locations may be considered. The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.

Schedule : 10 : 00-7 : 00 Central Time

A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve.

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

How you will make an impact :

• Ensures timely completion of clinical case reviews for their board certified specialty.
• Makes physician to physician calls to gather appropriate medical information in order to make medical necessity determinations for services requested.
• Makes medical necessity determinations for grievances and appeals appropriate for their specialty.
• Ensures consistent use of medical policies when making medical necessity decisions.
• Brings to their supervisor's attention any case review decisions that require Medical Director review or policy interpretation.

Minimum Requirements :

Preferred Experience, Qualifications, and Capabilities :

For candidates working in person or remotely in the below location(s), the salary range for this specific position is $179,503 to $307,732.

Locations :

California, Illinois, New York, Washington State

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401k contribution (all benefits are subject to eligibility requirements).

Job Level : Non-Management Non-Exempt

Workshift : 1st Shift (United States of America)

Job Family : MED >

Licensed Physician / Doctor / Dentist

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work :

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes, and drive our shared success for our consumers, our associates, our communities, and our business.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient / member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state, and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.

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Salary : $179,503 - $307,732