Appeals Medical Director – Internal Medicine Job at Elevance Health

Appeals Medical Director – Oncology

The Appeals Medical Director for Oncology is responsible for the appeal reviews ...

Location

United States of America

Salary:

247840.00 - 446112.00 USD / Year

Elevance Health

Expiration Date

March 13, 2026

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
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US
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
Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency

Job Responsibility

Appeal Reviews
Supports clinicians to ensure timely and consistent responses to members and providers
Provides guidance for clinical operational aspects of a program
May conduct peer-to-peer clinical case reviews with attending physicians or other ordering providers to discuss review determinations
Serves as a resource and consultant for other areas of the company
May be required to represent the company to external entities and/or serve on internal and/or external committees
May chair company committees
Interprets medical policies and clinical guidelines
May develop and propose new medical policies based on changes in healthcare
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes

What we offer

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
merit increases
paid holidays
Paid Time Off
incentive bonus programs
medical, dental, vision, short and long term disability benefits
401(k) +match

Fulltime

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Appeals Medical Director – Neurology

The Appeals Medical Director for Neurology is responsible for the appeal reviews...

Location

United States of America

Salary:

247840.00 - 446112.00 USD / Year

Elevance Health

Expiration Date

March 13, 2026

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
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US
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
Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

Job Responsibility

Appeal Reviews
Supports clinicians to ensure timely and consistent responses to members and providers
Provides guidance for clinical operational aspects of a program
May conduct peer-to-peer clinical case reviews with attending physicians or other ordering providers to discuss review determinations
Serves as a resource and consultant for other areas of the company
May be required to represent the company to external entities and/or serve on internal and/or external committees
May chair company committees
Interprets medical policies and clinical guidelines
May develop and propose new medical policies based on changes in healthcare
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes

What we offer

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution
merit increases
paid holidays
Paid Time Off
medical
dental
vision

Fulltime

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New

Medical Director-medicaid

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Work at Home

Salary:

174070.00 - 374920.00 USD / Year

CVS Health

Expiration Date

March 31, 2026

Requirements

Five or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry
Active and current West Virginia state medical license without encumbrances as well as the ability to obtain Florida, Louisiana and Kentucky licenses
M.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty
including post-graduate direct patient care experience
Family Medicine, Emergency Medicine, Internal Medicine-Pediatrics Specialty Preferred
Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus +

Job Responsibility

Ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal requests
Primarily responsible for Utilization Management, including prior authorization and precertification as well as concurrent review
Cases could focus on inpatient or outpatient, acute and post-acute as well as peer to peer calls and first level appeals
Participate in a rotating on call schedule to provide weekend and holiday coverage

What we offer

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance

Fulltime

Annual Giving Associate Director

The Associate Director, Annual Giving is a member of the Annual Giving Direct Re...

Location

United States of America , Rochester

Salary:

60431.00 - 84603.00 USD / Year

University of Rochester

Expiration Date

Until further notice

Requirements

Bachelor’s Degree Required
A minimum of 5 years of relevant or related experience, Required
or equivalent combination of education and experience Required
Proficiency with Microsoft Office suite, particularly Excel, or willingness to train and practice extensively. Required
Comfort level with relational constituent databases, project management, and analytical skills to review and assess complex information. Required
Ability to solve problems and manage fundraising activities effectively. Required
Attentive to detail, excellent communication and writing skills, and the ability to work within a complex organization, exercising tact in communicating to senior fundraising professionals and campus partners including division administrators, chiefs, and department chairs
discretion in handling high-risk data (PII and PHI). Required

Job Responsibility

Strategy direction: Create and implement long and short-term strategies for assigned unit campaigns as a part of overall Annual Giving Program plan for the fiscal year
Work closely and directly with assigned unit staff, department heads and directors to coordinate a year-long plan of solicitations, communications and timelines
Build and maintain positive relationships with internal and external partners, unit staff, physicians, PR and marketing staff, designers, and vendors
Develop and oversee mail, email and digital campaigns for assigned units
Use analytics to guide campaigns and budget allocation for each project
Collaborate with and monitor external mail house vendors on executing mailings
Conduct benchmarking research to refine messaging and solicitation strategies
Analyze program results throughout the year and recommend changes to achieve goals
Present quarterly reports throughout the fiscal year to unit contacts and Advancement principals
Review and refine reporting mechanisms to maximize analysis of annual giving efforts

Fulltime

New

Manufacturing Operator

We are looking for a reliable Manufacturing Operator to join our packaging team ...

Location

United Kingdom , Warrington

Salary:

13.00 - 14.00 GBP / Hour

Randstad

Expiration Date

May 16, 2026

Requirements

At least 1 year of experience in manufacturing, production, or a laboratory setting
Excellent time management and the ability to meet production targets
A willing-to-learn attitude and openness to occasional overtime if available

Job Responsibility

Packaging Assembly: Assembling boxes, inserts, and protective materials to ensure products are secure for transit
Labelling: Applying accurate product labels and regulatory information for inventory and safety
Quality Control: Conducting regular inspections to identify defects or inconsistencies
Documentation: Completing vital paperwork and following written standard operating procedures (SOPs)
Safety: Adhering to site safety standards, including manual handling and COSHH awareness

Fulltime

New

Warehouse technician

Looking for a local role with a global impact? If you're based in or near Sittin...

Location

United Kingdom , Sittingbourne

Salary:

13.00 GBP / Hour

Randstad

Expiration Date

March 27, 2026

Requirements

Proven experience in a fast-paced warehouse or logistics hub
Strong literacy and numeracy skills for inventory control
A track record of being dependable and punctual
Must have own reliable transport or live within a 45-minute walk of the site

Job Responsibility

Precision picking using handheld scanners to select medical products with 100% accuracy
Organising inventory and maintaining flawless records for full traceability
Completing essential system updates
Supporting internal departments with urgent material calls and process improvements

What we offer

Clear progression path

New

Warehouse operative

Do you have experience in a Production environment ? Are you based in or around ...

Location

United Kingdom , Swadlincote

Salary:

12.21 - 24.42 GBP / Hour

Randstad

Expiration Date

March 31, 2026

Requirements

Previous experience in a production environment
Strong verbal and written communication
Comfortable being on foot for long periods of time
Able to conduct manual handling
Driving licence and use of a car

Job Responsibility

Picking and packing
Working in line with Health and Safety guidance and processes at all times
Achieving high quality standards on all work produced
Adhering to customer demands in a timely manner
Completing any other duties relevant to the department as requested by the shift manager

What we offer

Advice and editing on your current CV
Dedicated team throughout your journey within the role
Paid holiday
Exclusive online services including restaurant and retail discounts
Chance to receive £300 for referring a friend
Opportunity for progression into permanent roles
Competitive rates of pay

New

Production Operator

Location

Ireland , Waterford

Salary:

Not provided

Randstad

Expiration Date

March 13, 2026

Requirements

1+ years of experience in a similar position

Job Responsibility

Operate production machinery and equipment to maintain a steady and efficient workflow
Perform quality inspections and maintain accurate documentation to ensure full product traceability
Manage workstation setup, precise packaging, and labelling of goods for distribution
Adhere to lean manufacturing principles, safety protocols, and strict attendance standards

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Appeals Medical Director – Internal Medicine

Elevance Health

Location:
United States of America

Category:
Health and Beauty

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 16, 2026

Expiration:
March 13, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

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Appeals Medical Director – Internal Medicine

Elevance Health

Location:United States of America

Category:Health and Beauty

Contract Type:Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:February 16, 2026

Expiration:March 13, 2026

Looking for more opportunities? Search for other job offers that match your skills and interests.

Similar Jobs for Appeals Medical Director – Internal Medicine

Appeals Medical Director – Oncology

Appeals Medical Director – Neurology

Medical Director-medicaid

Annual Giving Associate Director

Manufacturing Operator

Warehouse technician

Warehouse operative

Production Operator

Location:
United States of America

Category:
Health and Beauty

Contract Type:
Not provided

Job Posted:
February 16, 2026

Expiration:
March 13, 2026