Associate Medical Director - AIM/Carelon Insights
Company: Elevance Health
Location: Oklahoma City
Posted on: March 19, 2023
Job Description:
Clinical Operations Associate Medical Director AIM Specialty
Health/Carelon Insights Remote/Work From Home- Location Flexible
AIM Specialty Health is a benefit-management leader in Illinois and
a proud member of Elevance Health's family of companies. Our
platform delivers significant cost-of-care savings across an
expanding set of clinical domains, including radiology, cardiology
and oncology. Job Summary: Responsible for supporting the medical
management staff ensuring timely and consistent medical decisions
to members and providers. Primary duties may include, but are not
limited to:
- Ensures timely completion of clinical case reviews for their
board certified specialty.
- Makes physician to physician calls to gather medical
appropriate information in order to make medical necessity
determinations for services requested.
- Makes medical necessity determinations for grievance and
appeals appropriate for their specialty.
- Ensures consistent use of medical policies when making medical
necessity decisions.
- Brings to their supervisors attention, any case review
decisions that require Medical Director review or policy
interpretation. Desired Skills and Abilities:
- Requires an MD and Board certification in a medical specialty
required. For candidates working in person or remotely in the below
locations, the salary* range for this specific position is $158,725
to $285,692. Locations: California; Colorado; Nevada; Washington
State; Jersey City, NJ; New York City, NY; Ithaca, NY and
Westchester County, NY In addition to your salary, Elevance Health
offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). The salary offered for this specific position is
based on a number of legitimate, non-discriminatory factors set by
the company. The company is fully committed to ensuring equal pay
opportunities for equal work regardless of gender, race, or any
other category protected by federal, state, and local pay equity
laws . * The salary range is the range Elevance Health in good
faith believes is the range of possible compensation for this role
at the time of this posting. This range may be modified in the
future and actual compensation may vary from posting based on
geographic location, work experience, education and/or skill level.
Even within the range, the actual compensation will vary depending
on the above factors as well as market/business considerations. No
amount is considered to be wages or compensation until such amount
is earned, vested, and determinable under the terms and conditions
of the applicable policies and plans. The amount and availability
of any bonus, commission, benefits, or any other form of
compensation and benefits that are allocable to a particular
employee remains in the Company's sole discretion unless and until
paid and may be modified at the Company's sole discretion,
consistent with the law.
Keywords: Elevance Health, Oklahoma City , Associate Medical Director - AIM/Carelon Insights, Executive , Oklahoma City, Oklahoma
Didn't find what you're looking for? Search again!
Loading more jobs...