Chief Medical Officer providing leadership and quality care at Saint Francis Hospital. Overseeing medical staff and implementing strategic healthcare plans within a large integrated system.
About the role
- National Accounts Medical Director overseeing care management for National Account clients at Elevance Health. Responsible for clinical strategy and medical direction to improve health outcomes.
Responsibilities
- responsible for serving as the Operational Medical Director for our care management models for our National Account clients
- responsible for supporting the clinical vision and implementation to deliver an improvement in the health of the people we serve
- supports product strategy/design through medical management that impact health care quality, cost, and outcomes
- improving access to the health improvement tools offered to clients/members
- provides clinical expertise in all aspects of utilization review and case management
- provides input on the clinical relevance to account reporting regarding use of medical services by members
- involved in identifying and managing medical utilization trends, emerging trends and market changes that impact the client and members
- proactively identifying and solutioning with account management, Sales RVP Medical Directors
Requirements
- Requires MD or 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
- For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required
- Indiana MD license or compact state multi-licensure is preferred but not exclusive
- Board certification preferably in a Primary Health Specialty, Family or Internal medicine or Surgery (surgical specialty)
- Knowledge and experience with population or segment health management is a plus
- Knowledge of the health insurance industry and the National Accounts segment is preferred
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
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