Medical Director/ Medical Director Associate - Office based Buckhead Atlanta

<p style="font-weight: 400;"><em><em style="font-weight: 400;">Your Talent. Our Vision.</em></em><strong style="font-weight: 700 !important;">&nbsp;At Anthem, Inc.,&nbsp;</strong>it&rsquo;s a powerful combination, and the foundation upon which we&rsquo;re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will&nbsp;<strong style="font-weight: 700 !important;">drive the future of health care</strong>.</p> <p style="font-weight: 400;">&nbsp;</p>

Atlanta, GA

Anthem, Inc. - Business

Anthem is working to transform health care with trusted and caring solutions. Our health plan companies deliver quality products and services that give their members access to the care they need. With over 74 million people served by its affiliated companies, including approximately 40 million within its family of health plans, Anthem is one of the nation's leading health benefits companies.

keywords: innovation,administration,innovation,medical,compliance,quality assurance,consulting,medical,experience,certification


Overview: <p style="font-weight: 400;"><span style="font-weight: 400;">This is an exceptional opportunity to do innovative work that means more to you and those we serve at</span><span style="font-weight: 400;">one of America's leading health benefits companies and a Fortune Top 50 Company.<br /><br /></span>Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff.&nbsp;</p>
Responsibilities: <strong>Primary duties may include, but are not limited to: </strong><br /> <ul> <li>Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.</li> <li>Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.</li> <li>Identifies and develops opportunities for innovation to increase effectiveness and quality.</li> <li>Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance for clinical operational aspects of the program.</li> <li>Supports the medical management staff ensuring timely and consistent responses to members and providers.</li> </ul>
Requirements: <ul> <li><span style="font-family: arial;"><span style="font-size: medium;">M.D. or D.O.</span></span></li> <li><span style="font-family: arial;"><span style="font-size: medium;">Must possess an active unrestricted medical license to practice medicine in the state of GA</span></span></li> <li><span style="font-family: arial;"><span style="font-size: medium;">Board certification approved by the American Board of Medical Specialties required</span></span></li> <li>I<span style="font-family: arial;"><span style="font-size: medium;">nternal Medicine, Family Medicine, Emergency Medicine, Surgery, Pediatrics Specialties preferred</span></span></li> <li><span style="font-family: arial;"><span style="font-size: medium;">5 years of clinical experience</span></span></li> <li><span style="font-family: arial;"><span style="font-size: medium;">Ability to work in the Buckhead, Atlanta office</span></span></li> </ul>