Medical Director Associate (contract)

Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date. Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Responsible for providing day-to-day guidance, support, and leadership for clinical and/or quality activities under the guidance of a Medical Director. May be responsible for supporting one or more Medical Directors in ensuring clinical integrity of broad and significant clinical programs. May perform clinical review. This is a PART-TIME contract role. Primary duties may include, but are not limited to: May provide clinical guidance for programs. Supports clinicians to ensure timely and consistent responses to members and providers. Conducts peer-to-peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, and patients, office visits with providers and external physicians. May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. May participate in a physician on-call rotation for a 24x7 unit. May assist in the practitioner appeal reviews, appropriateness criteria reviews, medical technology assessments, setting and implementing QI initiatives, and practitioner/provider credentialing. Under direction, may be responsible for the administration of medical services for company health plans including medical policies. Serves as a resource and consultant to other areas of the company. May interpret existing medical policy. May be required to represent the company to external entities and/or serve on internal and/or external committees. The RH Associate Medical Director role will also be responsible for supporting the Medical Director in ensuring clinical integrity of broad and significant clinical programs. Requirements: Requires MD or DO degrees and Board certification in general Psychiatry approved by one of the following certifying boards: American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine in the state of Connecticut. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US. Minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Demonstrated clinical experience in the field of addiction psychiatry or treatment of substance use disorders; certification in addiction psychiatry/medicine by ABPN, ASAM, or ABAM is preferred, but not required. Formal training in epidemiology, public health, or data science is preferred, but not required. Job Type: Contract with possible extension. Location: Must be licensed and reside in Connecticut - Rocky Hills Pulse Point. The part-time Rural Health (RH) Associate Medical Director is responsible for providing day-to-day guidance, leadership, and support for clinical, quality, and network management activities designed to improve access and quality of services in rural areas of Connecticut. 20 hours per week (part-time role) May occasionally be asked to attend in person meetings with team, state partners, and providers Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location. BCForward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process. This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration. Pay Rate Range Min Pay Rate $89.44 Max Pay Rate $170.79 Currency USD Unit hourly Additional Pay Rate Notes The pay range is the range BCForward in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. Benefits Information BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. This does not encompass additional non-standard compensation (e.g., benefits, paid time off, per diem, etc.). #J-18808-Ljbffr Elevance Health