Jobs
>
Washington, D.C.

    National Solution Medical Director - Washington, United States - Elevance Health

    Elevance Health
    Elevance Health Washington, United States

    6 days ago

    Default job background
    Full time
    Description

    Job Description

    :

    A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.

    Carelon Medical Benefits Management is looking to hire a National Medical Director. This high-performing individual contributor will be responsible for serving as a National Solution Medical Director of the Surgical Solution (all surgeries that are Non-MSK / Non-Vascular), leading the strategic implementation of improving the health of the people we serve, influencing product strategy and design and medical management approaches that impact healthcare quality, cost, and outcomes, and improving access to and usefulness of health improvement tools offered to our health plan customers and members.

    How you will make an impact:

  • Develops clinical appropriateness guidelines for the surgical solution.
  • Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models.
  • Contributes to the development of Medical Management and Quality Management strategies; Develops and enhances relevant clinical guidelines.
  • Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management of Clients in cooperation with solution medical directors and the Chief Medical Officer.
  • Provides clinical expertise in sales planning and participates in the acquisition and retention of clients.
  • Collaborates with HCM leaders to refine and improve provider and medical management services to meet the needs of Clients.
  • Provides clinical expertise to relevant data analytic activities; Provides clinical expertise and strategic insight for solution development and expansion.
  • Communicates medical management trends and recommends company medical management responses to Clients.
  • Contributes to efforts to establish effective physician and hospital quality and cost profiling and education.
  • Contributes to improved provider relationships and national associations and societies (i.e., AMA, Coalition of Specialty Societies).
  • Represents company at nationally recognized speaking engagements to promote health programs.

    • Requires an MD and minimum of 12 years of healthcare experience; or any combination of education and experience, which would provide an equivalent background. Requires current unrestricted medical licensure in applicable state(s). Board certifications in a Surgical Specialty and/or General Surgery is required.

    Strongly Preferred:

  • Certified with the American Board of Surgery and Subspecialty Surgery and 12+ years of experience preferred.
  • MBA and/or experience in Administrative Medicine, Business Strategy, Product Strategy.
  • Experience with Managed Care, Utilization Management, Prior Auth, and Benefits Management decision support in the Non-MSK, Non-Vascular Surgical Domains.
  • Experience leading teams directly or leading teams in a matrixed environment.
  • Ability to travel ~10%.

    • For candidates working in person or remotely in the below locations, the salary* range for this specific position is $244,800 to $440,640

    Locations: California; Colorado; Hawaii; Nevada; New York; Washington State; Jersey City, NJ

    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). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. 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 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. 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. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. 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.

    Job Level:

    Director Equivalent

    Workshift:

    Job Family:

    MED > Licensed Physician/Doctor/Dentist

    Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

    Who We Are

    Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. 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.

    How We Work

    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. Our values and behaviors are the root of our culture. 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.

    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 operates in a Hybrid Workforce Strategy. 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. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

    The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

    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. Applicants who require accommodation to participate in the job application process may contact for assistance.

  • Regeneron Pharmaceuticals Inc.

    Associate Director, Field Medical Affairs

    2 days ago

    Regeneron Pharmaceuticals Inc. Washington, United States

    As an Associate Director, Field Medical Affairs, you will play a pivotal role as a field-based, medical science liaison in the General Medicine franchise. This position requires a strong cardiovascular background with an emphasis on dyslipidemia and rare disease. We deliver strat ...

  • Woodbine Rehabilitation and Healthcare Center

    Director of Medical Records

    20 hours ago

    Woodbine Rehabilitation and Healthcare Center Alexandria, United States

    **Director of Medical Records** · **Same day Pay Available** · Join the team at our Healthcare Center as a member of our proud and caring staff. We care for our staff while we care for our residents and patients. As a member of our Healthcare Center, you will enjoy being part of ...

  • NVA

    Medical Director

    6 days ago

    NVA Washington, United States

    Duties: Oversee the quality of medical services provided by all doctors and support staff. Examine, diagnose, treat, and manage cases presented to the Internal Medicine Department. Collaborate with the Hospital Director and Talent Development to recruit and hire high quality doct ...

  • Prime Source

    Director, Medical Director

    2 weeks ago

    Prime Source Washington DC, United States

    Job Description We are working with a very successful national Hospice company searching for a Clinical Director for the Washington, DC area. · Ideal candidate for the Clinical Director position is clinically strong in hospice care, an effective team leader, and possesses a soli ...

  • NVA

    Medical Director

    1 week ago

    NVA Washington, United States

    Join Our Compassionate Team as a Medical Director at Mid-Columbia Pet Emergency Service · Founded in 1996, Mid-Columbia Pet Emergency Service is a prestigious AAHA-accredited hospital dedicated to providing exceptional emergency care for pets. We take pride in our vibrant team of ...

  • HCA Healthcare, Inc.

    Director, Medical Director

    2 weeks ago

    HCA Healthcare, Inc. Washington DC, United States

    · Specialization: · Pediatric Emergency Medicine · Job Summary: · We are currently recruiting for the role of Facility Medical Director at CHIPPENHAM PEDIATRIC ER located in Richmond, VA. This leadership opportunity will oversee a growing (established) team of clinicians and ...

  • CB3 Connections

    Medical Director

    1 day ago

    CB3 Connections Washington, United States

    Job Description · Job DescriptionMedical Director · CB3 Connections, LLC is proactively expanding our talent pipeline to meet the anticipated needs of our distinguished clientele within the healthcare sector. We aim to connect exceptional leaders in the medical field with future ...

  • CB3 Connections

    Medical Director

    2 weeks ago

    CB3 Connections Washington DC, United States

    Job Description Medical Director · CB3 Connections, LLC is proactively expanding our talent pipeline to meet the anticipated needs of our distinguished clientele within the healthcare sector. We aim to connect exceptional leaders in the medical field with future opportunities th ...

  • Children's National Medical Center

    Medical Director

    1 week ago

    Children's National Medical Center Washington DC, United States

    Job Description - Clinical Pathologist/Clinical Lab Director NK) · Clinical Pathologist/Clinical Lab Director NK ) · The faculty member is responsible for the oversight of the laboratory that serves patients in the hospital and clinics, as well as research, educational and advo ...

  • Cambia Health Solutions

    Associate Medical Director or Medical Director

    6 days ago

    Cambia Health Solutions Washington, United States Full time

    Associate Medical Director or Medical Director (dependent on experience) · Remote must reside in ID, OR, WA, UT · In this role, physicians will participate in utilization management and provide clinical leadership and support to clinical teams to ensure our members receive qual ...

  • Holy Cross Health

    Medical Director, Health Informatics

    2 days ago

    Holy Cross Health Silver Spring, United States

    **Employment Type**: · Part time · **Shift**: · Day Shift · **Description**: · Come join our Clinical Informatics team at Holy Cross Health, Trinity Health Maryland Region. This is a 20 hours/week, Monday - Friday position · We are part of the nationwide Trinity Health family bri ...

  • Open Systems Healthcare

    Director, Medical Director

    2 weeks ago

    Open Systems Healthcare Washington DC, United States

    Job Description At Open Systems Healthcare, we're taking on a mission bigger than ourselves - providing care to those who need it, regardless of their life situation. We're a home care startup experiencing explosive growth because we look at home care differently than most. · It ...

  • CB3 Connections

    Medical Director

    1 week ago

    CB3 Connections Washington, United States

    Medical Director · CB3 Connections, LLC is proactively expanding our talent pipeline to meet the anticipated needs of our distinguished clientele within the healthcare sector. We aim to connect exceptional leaders in the medical field with future opportunities that align with th ...

  • Viasat

    Director of and medical

    1 week ago

    Viasat Washington DC, United States

    For more than 35 years, Viasat has helped shape how consumers, businesses, governments and militaries around the globe communicate. Support development of the financial solution, provide market insight to competitive offerings, price to win and should cost. · - Support post-sale ...

  • Small Door Veterinary

    Medical Director

    1 week ago

    Small Door Veterinary Washington DC, United States

    At Small Door, our doctors are part of a supportive and collaborative network invested in their growth. With our high standard of medicine, 30-60 minute appointments, dedicated daily administrative time, generous ratio of doctors to support team, skilled veterinary nurses assisti ...

  • The US Oncology Network

    Medical Director

    1 week ago

    The US Oncology Network Washington D.C., United States Full time

    Overview · The Hematologic Malignancies Program at MedStar Georgetown Lombardi Comprehensive Cancer Center in Washington D.C. is growing rapidly and is seeking a leukemia expert to serve as Medical Director for the Leukemia Program at Georgetown, MedStar System. This position pro ...

  • Blue Cross Blue Shield Association

    Medical Director, Medical Affairs

    2 weeks ago

    Blue Cross Blue Shield Association Washington DC, United States

    Responsible to BCBS Plan and other key stakeholders to provide clinical expertise and leadership for medical affairs strategy development and implementation. Serves as a thought and opinion leader to provide clinical leadership and support to internal and external strategic initi ...

  • National Veterinary Associates

    Medical Director

    1 week ago

    National Veterinary Associates Arlington, United States

    Arlington South Veterinary Hospital is seeking a Managing Veterinarian/ Medical Director: We are looking for a dedicated Veterinarian with some Management experience to join our highly skilled team. The ideal candidate for this position will have a p Medical Director, Director, M ...

  • National Veterinary Associates

    Medical Director

    1 week ago

    National Veterinary Associates Arlington, United States

    Arlington Pet Care Hospital is seeking a Medical Director to join and guide our team : We are a high-quality, AAHA-accredited, general practice hospital and we care deeply about making sure our patients have everything they need to be happy and healt Medical Director, Director, M ...

  • NVA

    Medical Director

    1 week ago

    NVA Arlington, United States

    Arlington Pet Care Hospital is seeking a Medical Director to join and guide our team : · We are a high-quality, AAHA-accredited, general practice hospital and we care deeply about making sure our patients have everything they need to be happy and healthy. We take pride in our rel ...