Regional Vice President overseeing account management and clinical guidance for national clients at Elevance Health. Collaborating with sales and account management teams to enhance healthcare quality and outcomes.
About the role
- Medical Director at Elevance Health responsible for the administration of healthcare services and improving quality outcomes. Ensuring efficient cost-effective medical care and supporting clinicians in their roles.
Responsibilities
- Administration of physical and/or behavioral health medical services
- Ensure appropriate and most cost effective medical care is received
- Develop and implement programs to improve quality, cost, and outcomes
- Provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations
- Identify cost of care opportunities
- Serve as a resource to staff including Medical Director Associates
- Responsible for an entire clinical program
- Supports clinicians to ensure timely and consistent responses to members and providers
- Provides guidance for clinical operational aspects of a program
- Serves as a resource and consultant to other areas of the company
- May be required to represent the company to external entities and/or serve on internal and/or external committees
- Interprets medical policies and clinical guidelines
Requirements
- Requires MD/DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, 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
- Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background
- Strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
- MAC experience is preferred
- Medicare Fee For Service experience is preferred
- OBGYN, Primary care or Internal Medicine
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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