Posted in

Associate Medical Director – Interventional Pain

Associate Medical Director – Interventional Pain

CompanyElevance Health
LocationIndianapolis, IN, USA, Houston, TX, USA, Louisville, KY, USA, Nashville, TN, USA, Miami, FL, USA, Chicago, IL, USA, St. Louis, MO, USA, Mason, OH, USA, Norfolk, VA, USA, Waukesha, WI, USA, Atlanta, GA, USA
Salary$179082 – $268634
TypeFull-Time
DegreesMD
Experience LevelSenior

Requirements

  • Requires an MD and Board certification in a medical specialty required.

Responsibilities

  • 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 medical policies when making medical necessity decisions.
  • Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.

Preferred Qualifications

  • Board certification in Pain Management strongly preferred.
  • 3 years clinical experience post fellowship strongly preferred.