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Makes medical necessity determinations for grievance and appeals appropriate for their specialty. The Clinical Operations Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.
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Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
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Job Description :Clinical Operations Associate Medical DirectorCarelon Medical Benefit ManagementInterventional Pain Benefit ReviewLocation: This position will work a hybrid model (remote and office.
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Preferred Skills, Capabilities, and Experiences:Board certification in Pain Management strongly preferred. Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJIn addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.
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The Clinical Operations Associate Medical Director responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.
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Clinical Operations Associate Medical Director. Location : This position will work a hybrid model (remote and office). In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements.
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The DMEPOS Clinical Operations Associate Medical Directo r is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers pertaining to Durable Medical Equipment, Prosthetics, Orthotics, and Supplies.
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Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
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In treatment team meetings as well as grievance and appeals meeting. You will partner with the Executive Director and Director of Nursing to establish and maintain a therapeutic environment and routine for our residents.
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Minimum Requirements: Requires an MD and Board certification in a medical specialty required. The health of our associates and communities is a top priority for Elevance Health. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week.
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Requires an MD and Board certification in a medical specialty required. At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
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Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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Durable Medical Equipment, Prosthetics, Orthotics, and Supplies. A proud member of the Elevance Health family of companies, Carelon Post Acute Solutions, formerly myNEXUS, is the leader in health resource optimization, focused on transforming how healthcare is delivered and promoting the advancement of care for the people we serve.
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Elevance Health will also follow all relevant federal, state and local laws. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
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