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Medical Director – Oncology at Elevance Health | JobVerse
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Medical Director – Oncology
Elevance Health
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Medical Director – Oncology
United States
Full Time
1 week ago
$247,840 - $446,112 USD
H1B Sponsor
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About this role
Role Overview
Responsible for the appeal reviews for physical health medical services
Supports clinicians to ensure timely and consistent responses to members and providers
Provides guidance for clinical operational aspects of a program
May conduct peer-to-peer clinical case reviews with attending physicians or other ordering providers
Serves as a resource and consultant for other areas of the company
Interprets medical policies and clinical guidelines
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes
Requirements
Requires MD or DO and Board certification approved by ABMS or AOA
Must possess an active unrestricted medical license to practice medicine
Minimum of 10 years of clinical experience
For Health Solutions and Carelon organizations, minimum of 5 years of experience providing healthcare is required
Board certification in Oncology or Hematology and Oncology strongly preferred
Utilization Management or Appeals experience preferred
Benefits
Comprehensive benefits package
Incentive and recognition programs
Equity stock purchase
401k contribution
Paid holidays
Paid Time Off
Medical benefits
Dental benefits
Vision benefits
Short and long term disability benefits
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