Responsible for the administration of physical and/or behavioral health medical services
Ensure appropriate and cost-effective medical care is received
May provide clinical consultation as clinical/strategic advisor
Conduct peer-to-peer clinical reviews
Serve as a resource and consultant for other areas of the company

Requires MD or DO and Board certification approved by American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA)
Must possess an active unrestricted medical license
A minimum of 10 years of clinical experience
For Health Solutions and Carelon organizations (including behavioral health) only, a minimum of 5 years of experience providing health care is required
Knowledge and experience with population or segment health management is a plus
Experience working in managed care managing National Accounts is strongly preferred
Experience caring for patients in following specialties: Family Practice, Emergency Medicine, Internal Medicine, and Physical Medicine are strongly preferred.

Medical Director – National Accounts

About this role