Elevance Health - Chicago, IL
posted 4 days ago
The Associate Medical Director, Clinical Operations (Surgery) at Carelon Medical Benefits Management is responsible for overseeing the medical management staff to ensure timely and consistent medical decisions regarding surgical procedures. This role involves determining the medical necessity of requests, conducting peer-to-peer consultations, and providing education on clinical criteria. The position is remote, but candidates should reside within 50 miles of an Elevance Health PulsePoint location.