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Medicare Medical Director
Develop and implement innovative programs to improve healthcare quality and cost-effectiveness.
Atlanta
Expert
5 days ago
Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.
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✨ About The Role
- The Medicare Medical Director will oversee the administration of physical and behavioral health medical services.
- This role involves conducting peer-to-peer clinical reviews and providing guidance on clinical operational aspects of programs.
- The director may develop new medical policies based on changes in healthcare and interpret existing medical policies.
- The position requires leading and implementing clinical activities that impact healthcare quality and cost.
- The director will serve as a resource and consultant to other areas of the company and may represent the company to external entities.
âš¡ Requirements
- The ideal candidate will have an MD or DO with board certification from an approved certifying board.
- A minimum of 10 years of clinical experience is required, demonstrating a strong background in healthcare.
- Candidates should possess an active unrestricted medical license to practice medicine.
- Experience in developing and implementing healthcare programs to improve quality and outcomes is essential.
- The successful individual will be able to work Eastern Time Zone hours and live within 50 miles of an Elevance Health PulsePoint location.
About Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.