Medical Director - Radiation Oncology

Medical Director - Radiation Oncology at Elevance Health

Join to apply for the Medical Director - Radiation Oncology role at Elevance Health

$/yr - $/yr

Clinical Operations Medical Director for Carelon Medical Benefit Management, focused on Radiation Oncology. This role enables associates to work virtually full-time, with required in-person training sessions. The position requires staying within a reasonable commuting distance unless accommodations are permitted.

• Ensures timely completion of clinical case reviews for board‑certified specialty.
• Makes physician‑to‑physician calls to gather medically appropriate information to determine medical necessity for services requested.
• Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
• Ensures consistent use of company medical policies when making medical necessity decisions.
• Brings to supervisors attention any case review decisions that require Medical Director review or policy interpretation.

• MD or DO with board certification from an approved board (ABMS or AOA).
• Active unrestricted medical license to practice medicine.
• Minimum of 1 year of experience with clinical case reviews for medical necessity; waiver available for certain specialties with board certification.

• Board certified in Radiation Oncology.

• California
• District of Columbia (Washington, DC)
• New Jersey
• New York

Includes comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401(k) contribution (subject to eligibility). Elevance Health is committed to equal pay opportunities.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender, marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, or local laws, including the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.