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    Medical Oncology Medical Director - Tampa, FL, United States - Elevance Health

    Elevance Health
    Elevance Health Tampa, FL, United States

    3 weeks ago

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    Description

    Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies.

    Elevance Health requires a completed online application for consideration of employment for any position.

    We will never ask you for a credit card, send you a check, or ask you for payment as part of consideration for employment.

    Medical Oncology Medical Director - Utilization Review


    Type:
    Full time

    California, Woodland Hills
    California, Costa Mesa
    Clinical Operations Medical Director
    Utilization Management of Medical Oncology Benefits
    20,000 Sign On Bonus

    The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations with the opportunity to work remotely from home.

    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.
    Clinical Operations Medical Director supporting our Medical Oncology team
    is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.
    Perform physician-level case review, following initial nurse review, of Medical Oncology regimens and supportive care.
    Determine medical necessity of requests using guidelines and client-specific health plan medical policy.

    Conduct peer-to-peer discussions with ordering physicians, physician assistants, and nurse practitioners to provide education regarding established guidelines and accepted standards of oncology care.

    Document the pre-certification review in a complete, concise, and accurate manner in the pre-certification computer application.

    As necessary, assist pre-certification nurses and other staff in understanding the principles behind appropriate utilization of covered treatments and genetic testing.

    Demonstrate and maintain knowledge of relevant policies and regulations pertaining to utilization review of oncology care.
    Adhere to all company protocols, policies, and procedures.
    Requires an MD and minimum of 1 year of experience with clinical case reviews for medical necessity.
    Cardiology, Oncology, and Interventional Pain specialties.
    Board certification in a medical specialty required.
    Board Certification in Medical Oncology
    3-5 years of clinical practice experience past fellowship training is desirable.
    Demonstrated knowledge of current practice standards in oncology.
    Intermediate computer skills (including MS Office and Outlook), ability to learn new applications.

    For candidates working in person or remotely in the below locations, the salary* range for this specific position is $188,177 to $338,707.

    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 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.

    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.

    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.
    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.

    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.

    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.

    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. 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.
    Equal Opportunity Employer / Disability / Veteran
    EEO Policy Statement
    Privacy Notice for California Residents
    Elevance Health, Inc. is anE-verify Employer (
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