Associate Medical Director - Post Acute Care

Associate Medical Director - Post Acute Care role supports medical management staff in timely, consistent medical decisions for members and providers. Responsibilities include ensuring timely clinical case reviews for board-certified specialties, making physician-to-physician calls to gather information for medical necessity determinations, determining medical necessity for grievances/appeals within the specialty, ensuring consistent use of medical policies, and flagging cases requiring Medical Director review or policy interpretation. Requires MD or DO with active medical license and board certification as applicable; 3+ years of clinical experience post-residency; PM&R board certification preferred. In-person weekly requirements apply at Elevance Health locations, with virtual options and hybrid/remote work available, including required in-person training sessions and a schedule that may include one weekend coverage shift per month. Salary range for in-person/vital location work is disclosed and reflects geographic considerations. The organization emphasizes equal opportunity employment and a hybrid work approach, with vaccination requirements for certain patient-facing roles and accommodation processes as needed.