Appeals Medical Director - Internal Medicine
$247840/y-$446112/y
Elevance Healtha day ago
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HybridFull-timeDirector
Summary
Elevance Health is seeking an Appeals Medical Director - Internal Medicine to join their team, enabling associates to work virtually full-time while ensuring quality medical care through appeal reviews.
About the Role
As the Appeals Medical Director for Internal Medicine, you will be responsible for overseeing appeal reviews for physical health medical services, ensuring appropriate and cost-effective medical care. You will support clinicians, provide clinical consultation, and serve as a strategic advisor to enhance clinical operations. Your role may include conducting peer-to-peer clinical case reviews, interpreting medical policies, and leading initiatives to improve healthcare quality and outcomes.
About You
Required:
- MD or DO with Board certification from an approved certifying board.
- Active unrestricted medical license to practice medicine.
- Minimum of 10 years of clinical experience.
Preferred:
- Board certification in Internal Medicine.
- Experience in Utilization Management or Appeals.
Benefits
- Comprehensive benefits package including medical, dental, and vision coverage.
- Incentive and recognition programs.
- 401(k) contribution and equity stock purchase options.
- Paid Time Off and paid holidays.
Elevance Health
Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve more than 118 million people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. We believe that improving health for everyone is possible. It begins by redefining health, reimagining the health system, and strengthening our communities.
Ashburn, VA