Associate Medical Director – Interventional Pain
Company | Elevance Health |
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Location | Indianapolis, 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 |
Type | Full-Time |
Degrees | MD |
Experience Level | Senior |
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.