What are the responsibilities and job description for the Clinical Operations Medical Director position at Elevancehealth?
About Us
">We are a healthcare company dedicated to improving lives and communities. Our mission is to create a culture that advances our strategy, leads to personal and professional growth, and drives shared success for our consumers, associates, communities, and business.
Why Join Us?
">We offer a unique opportunity to join a leading healthcare company with a longstanding history. As a Clinical Operations Medical Director, you will be part of a talented team working together to improve lives and communities. You will have the chance to contribute to shaping the future of healthcare and make a meaningful impact on our members and communities.
Your Responsibilities
">In this role, you will be responsible for:
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- Supporting the medical management staff in making timely and consistent medical decisions for members and providers; ">
- Making physician-to-physician calls to gather medical information and make medical necessity determinations for services requested; ">
- Ensuring consistent use of medical policies when making medical necessity decisions; ">
- B bringing attention to case review decisions that require Medical Director review or policy interpretation. ">
What We Offer
">We provide a competitive salary, a comprehensive benefits package, and opportunities for career growth and development. Our Hybrid Workforce Strategy allows associates to work at an Elevance Health location at least once per week, with specific requirements and expectations discussed during the hiring process.
Our Culture
">We believe in creating a culture that advances our strategy, leads to personal and professional growth, and drives shared success for our consumers, associates, communities, and business. Our values and behaviors are the root of our culture, powering our business outcomes and driving our shared success.
