Elevance Health

Plan Performance Medical Director- New York Commercial

Elevance Health(1 month ago)

HybridFull TimeDirector$262,752 - $450,432Medical
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About this role

The Plan Performance Medical Director for New York Commercial serves as the Chief Medical Officer for the health plan’s Commercial business, overseeing medical services, policies, and clinical guidelines to ensure appropriate and cost-effective care for members. The role partners with the market plan president and leadership team to align clinical operations with business objectives and drive clinical strategy. The position is based in the NY/NJ market with largely virtual work and required local commuting availability for training and occasional onsite work.

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Required Skills

  • Clinical Leadership
  • Clinical Guidelines
  • Utilization Management
  • Managed Care
  • Peer Review
  • Medical Licensing
  • Strategic Planning
  • Innovation
  • Stakeholder Engagement
  • Policy Interpretation

Qualifications

  • MD
  • DO
  • Board Certification (ABMS or AOA)
  • Active Unrestricted Medical License
  • Master's Degree Preferred (MBA, MPH)
Elevance Health

About Elevance Health

elevancehealth.com

Elevance Health, formerly Anthem, Inc., serves people across their entire health journey taking an integrated whole-health approach.

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