Medical Director - Radiation Oncology

Medical Director - Radiation Oncology – Elevance Health

Be among the first 25 applicants.

$/yr - $/yr

The Clinical Operations Medical Director is responsible for supporting the medical management staff to ensure timely and consistent medical decisions for 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 company medical policies when making medical necessity decisions.
• Brings to supervisors attention any case review decisions that require Medical Director review or policy interpretation.

• MD or DO with Board certification approved by American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Board certification is required where applicable to duties being performed.
• Must possess an active unrestricted medical license to practice medicine or a health profession.
• Minimum of 1 year of experience with clinical case reviews for medical necessity. The minimum years of experience may be waived for Cardiology, Oncology, and Interventional Pain specialties where board certification in a medical specialty is present.

• Board certified in Radiation Oncology strongly preferred.

• California
• District of Columbia (Washington, DC)
• New Jersey
• New York

Benefits include a comprehensive benefits package, incentive and recognition programs, equity stock purchase, 401k contribution, and more. 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.

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

Health Care Provider

Hospitals and Health Care