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Director of Medical Mgmt - Los Angeles, CA, United States - Elevance Health
Description
A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management 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, oncology, and post-acute care solutions.
Carelon Medical Benefits Management Clinical Operations organization is looking to hire a Director of Medical Management . This people leader will manage and develop a team of clinical operationsmanagers who will perform clinical reviews for a set of Post Acute Care Utilization Management solutions such as home health, durable medical equipment, prosthetics, orthotics and supplies (DMEPOS). This Director will be responsible for day-to-day clinical operations for different solutions, implementingnew solutions, workflows, and process improvement efforts to improve the performance of both business lines. Position can work 1 day a week from any Elevance Health US corporate location.
How you will make an impact:
Requires minimum of 5 years acute care clinical experience; or any combination of education and experience, which would provide an equivalent background. Current active unrestricted RN license to practice as a health professional within the scope of practice in applicable state(s) or territory of the United States preferred. Prior management experience required.
Preferred:
-Leadership experience in a utilization management clinical operations business inside a health plan or a UM/benefits management firm
-Utilization management or clinical experience with post-acute care, especially home health and DME
-Experience managing productivity with operational tools such as WFM software, Excel, Tableau, Smartsheet, dashboard and report-building
For candidates working in person or remotely in the below locations, the salary* range for this specific position is $113,040 to $203,472
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.
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