Elevance Health - Chicago, IL
posted 4 days ago
The Associate Medical Director, Clinical Operations at Elevance Health is a pivotal role responsible for overseeing the medical necessity determinations for various outpatient services, including diagnostic imaging and cardiac testing. This position involves conducting physician-level case reviews, engaging in peer-to-peer discussions with healthcare providers, and ensuring adherence to established medical guidelines and policies. The role supports the medical management staff in delivering timely and accurate medical decisions to members and providers, contributing to the overall mission of improving healthcare outcomes.