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Clinical Operations Associate Medical Director

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Elevance Health

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Location:
United States of America

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

179503.00 - 307732.00 USD / Year

Job Description:

The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.

Job Responsibility:

  • Ensures timely completion of clinical case reviews for their board certified specialty
  • Makes physician to physician calls to gather medical appropriate information to make medical necessity determinations
  • Makes medical necessity determinations for grievance and appeals appropriate for their specialty
  • Ensures consistent use of medical policies when making medical necessity decisions
  • Brings to their supervisors attention any case review decisions that require Medical Director review or policy interpretation

Requirements:

  • Requires MD or DO
  • Board certification approved by 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

Nice to have:

  • 3 years of clinical experience post residency
  • Preferably in inpatient post-acute care
  • Board certified in Physical Medicine and Rehab is preferred
What we offer:
  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Paid holidays
  • Paid Time Off
  • Medical, dental, vision benefits
  • Short and long term disability benefits
  • Life insurance
  • Wellness programs
  • Financial education resources

Additional Information:

Job Posted:
December 26, 2025

Expiration:
December 31, 2025

Work Type:
Remote work
Job Link Share:

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