Upvote
Downvote
Senior Medical Director, Clinical UM Operations
Share Job
- Suggest Revision
Full-time
- Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
- Carelon Medical Benefits Management Clinical Operations team is looking to hire a Senior Medical Director to manage a team of physicians performing clinical coverage and determination reviews for our Musculoskeletal (MSK) Solution.
- Position can work 1 day a week from any Elevance Health US corporate location.
- May participate in a physician on-call rotation for a 24x7 pre-certification unit.
- Assists in the practitioner appeal reviews, appropriateness criteria reviews, medical policy and technology assessments, setting and implementing QI initiatives, and practitioner/provider credentialing.
Active Job
Updated TodaySimilar Job
Relevance
Active