Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested including: echocardiography, vascular Doppler ultrasound, high-tech diagnostic imaging (cardiac and non-cardiac) and cardiac procedures (coronary angiography, percutaneous coronary interventions, and implanted cardiac devices.

Makes medical necessity determinations for grievance and appeals appropriate for their specialty. 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.

Elevance Health has been named as a Fortune Great Place To Work in 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company.

The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. Physician Advisors determine the medical necessity of requests using clinical appropriateness guidelines and health plan medical policy.

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.

Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. Associate Medical Director - Cardiology. The health of our associates and communities is a top priority for Elevance Health.

Requires an MD and Board certification in a medical specialty required. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health.

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Elevance Health will also follow all relevant federal, state and local laws.

Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. + Ensures consistent use of company medical policies when making medical necessity decisions.

If you are not vaccinated, your offer will be rescinded unless you provide - and Elevance Health approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate.

Associate Clinical Operations Medical Director. ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Job Family: Medical and Clinical. Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Elevance Health, Inc. is anE-verify Employer.

AIM is currently seeking a Board-Certified Cardiologist to participate in pre-authorization and quality improvement solutions for echocardiography, vascular Doppler ultrasound, high-tech diagnostic imaging (cardiac and non-cardiac) and cardiac procedures such as coronary angiography, percutaneous coronary interventions, and implanted cardiac devices.

A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of car.

Assists in practitioner appeal reviews, appropriateness criteria reviews, medical policy, and technology assessments, setting and implementing QI initiatives, and practitioner/provider credentialing.