Associate Medical Director

Elevance Health Associate Medical Director Denver, Colorado Apply Now

Clinical Operations Associate Medical Director

Carelon Medical Benefits Management

Radiology Benefit Management / Utilization Review

Schedule : Monday-Friday 9AM-5 : 30PM Central Time

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

A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology, and oncology.

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 medically appropriate 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 Experiences, Capabilities, and Skills :

For candidates working in person or remotely, the salary range for this specific position is $154,661.52 to $293,055.36.

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

J-18808-Ljbffr

Salary : $154,662 - $293,055