Appeals Medical Director - Oncology
$247840/y-$446112/y
Elevance Health2 days ago
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HybridFull-timeDirector
Summary
Elevance Health is seeking an Appeals Medical Director - Oncology to join their team, enabling associates to work virtually full-time with required in-person training sessions.
About the Role
The Appeals Medical Director for Oncology is responsible for reviewing appeals for physical health medical services to ensure appropriate and cost-effective medical care. This role includes developing programs to improve quality and outcomes, providing clinical consultation, conducting peer-to-peer clinical case reviews, and serving as a resource for other areas of the company. The director may also chair committees, interpret medical policies, and lead activities impacting healthcare quality and costs.
About You
Required:
- MD or DO with Board certification from ABMS or AOA.
- Active unrestricted medical license to practice medicine.
- Minimum of 10 years of clinical experience.
Preferred:
- Board certification in Oncology or Hematology and Oncology.
- Utilization Management or Appeals experience.
Benefits
- Comprehensive benefits package including medical, dental, and vision coverage.
- Incentive and recognition programs.
- Equity stock purchase and 401k contribution.
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.
Woodbridge, NJ