Elevance Health - Cerritos, CA
posted 5 days ago
The Associate Medical Director, Clinical Operations at Elevance Health is responsible for overseeing the medical necessity determinations for outpatient radiology, cardiology, sleep management, and surgical procedures. This role involves conducting physician-level case reviews, engaging in peer-to-peer discussions with healthcare providers, and ensuring timely and accurate medical decisions are made in accordance with established guidelines and policies. The position is remote but requires the candidate to reside within 50 miles of an Elevance Health PulsePoint location.