Associate Medical Director - Sleep Medicine

Associate Medical Director - Sleep Medicine Base Pay Range

$/yr - $/yr

Clinical Operations Associate Medical Director at Carelon Medical Benefits Management – Radiology Benefit Management/Utilization Review. This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff, ensuring timely and consistent medical decisions to members and providers.

• 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.

• Requires MD or DO and Board certification approved by one of the following certifying boards:
  American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
• Must possess an active unrestricted medical license to practice medicine or a health profession.

• Board Certification by American Board of Medical Specialties in Sleep Medicine strongly preferred.
• 3‑5 years of clinical practice experience past fellowship training is desirable.

• California
• Illinois
• Maryland
• New York

In addition to your salary, Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution (subject to eligibility requirements).

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Mid‑Senior level

Full‑time

Management

Business Consulting and Services