Spine Associate Medical Director - Neurosurgery
Company: Elevance Health
Location: Charleston
Posted on: January 18, 2023
Job Description:
Spine Associate Medical Director - Neurosurgery
- Job Family: Medical and Clinical
- Type: Full time
- Date Posted:Jan 06, 2023
- Req #: JR42392Location:
- California, California
- National +50 Miles away from nearest PulsePoint, National +50
Miles away from nearest PulsePointDescriptionAssociate Medical
Director Neurosurgery/Ortho Spine SurgeryLocation: Remote position,
can work/live anywhere.Build the Possibilities. Make an
extraordinary impact.The Associate Medical Director - Neurosurgery
is responsible for performing pre-authorizations and providing
quality improvement solutions for musculoskeletal procedures
involving the spine and/or joints, and high-tech diagnostic
imaging.How you will make an impact:
- Determines the medical necessity of requests using clinical
criteria.
- Performs physician-level case review of musculoskeletal
utilization requests.
- Conducts peer-to-peer consultation with ordering physicians,
physician assistants and advanced practice nurses regarding
established guidelines and accepted standards of care as it relates
to treatments, surgical procedures, imaging, and appropriate sites
of service.
- Provides education regarding applicable clinical criteria and
discusses clinically appropriate alternative surgical and
non-surgical treatments.
- Performs first level provider appeals of coverage
decisions.
- Provides support and education to internal clinical and
non-clinical staff regarding the principles associated with
appropriate musculoskeletal diagnoses, treatments, and
management.
- Participates in physician team meetings.
- Participates in groups that develop, revise, and enhance
clinical appropriateness guidelines.Minimum Requirements:
- Requires MD or DO and Board certification by the American Board
of Neurologic Surgery or American Osteopathic Board of
Neurosurgery.
- Additionally, American Board of Orthopedic Surgery with
completion of fellowship training in Spine Surgery or American
Osteopathic Board of Orthopedic Surgery with completion of
fellowship training in Spine Surgery also meets the Board
certification requirements for this position.
- Current unrestricted medical license(s) as a Doctor of Medicine
or Doctor of Osteopathic Medicine in appropriate state(s)
required.
- Experience performing standard neurosurgical spine procedures
independently.Preferred Skills, Capabilities and Experiences:
- Strong oral communication and interpersonal skills
- Computer literacy with the ability to learn new
applications
- Strong analytical skills
- Ability to multi-task
- Ability to work both independently and in a team
environment
- Ability to work in a dynamic, fast-paced environment
- Minimum of 5 years of clinical practice experience past
fellowship training preferred.
- Extensive spine surgery experience preferred. Experience with
utilization management, especially with CMS guidelines
preferred.For candidates working in person or remotely in the below
locations, the salary* range for this specific position is $274,398
to $548,796.Locations: California; Colorado; Nevada; Washington
State; Jersey City, NJ; New York City, NY; Ithaca, NY and
Westchester County, NYIn addition to your salary, Elevance Health
offers benefits such as, a comprehensive benefits package,
incentive and recognition programs, equity stock purchase and 401k
contribution (all benefits are subject to eligibility
requirements). The salary offered for this specific position is
based on a number of legitimate, non-discriminatory factors set by
the company. 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 .
- The salary range is the range Elevance Health 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. No
amount is considered to be wages or compensation until such amount
is earned, vested, and determinable under the terms and conditions
of the applicable policies and plans. The amount and availability
of any bonus, commission, benefits, or any other form of
compensation and benefits that are allocable to a particular
employee remains in the Company's sole discretion unless and until
paid and may be modified at the Companys sole discretion,
consistent with the law.Please be advised that Elevance Health only
accepts resumes from agencies that have a signed agreement with
Elevance Health. Accordingly, Elevance Health is not obligated to
pay referral fees to any agency that is not a party to an agreement
with Elevance Health. Thus, any unsolicited resumes, including
those submitted to hiring managers, are deemed to be the property
of Elevance Health.Be part of an Extraordinary TeamElevance Health
is a health company dedicated to improving lives and communities
and making healthcare simpler. Previously known as Anthem, Inc., we
have evolved into a company focused on whole health and updated our
name to better reflect the direction the company is heading.We are
looking for leaders at all levels of the organization who are
passionate about making an impact on our members and the
communities we serve. You will thrive in a complex and
collaborative environment where you take action and ownership to
solve problems and lead change. Do you want to be part of a larger
purpose and an evolving, high-performance culture that empowers you
to make an impact?We offer a range of market-competitive total
rewards that include merit increases, paid holidays, Paid Time Off,
and incentive bonus programs (unless covered by a collective
bargaining agreement), medical, dental, vision, short and long term
disability benefits, 401(k) +match, stock purchase plan, life
insurance, wellness programs and financial education resources, to
name a few.The health of our associates and communities is a top
priority for Elevance Health. We require all new candidates to
become vaccinated against COVID-19. If you are not vaccinated, your
offer will be rescinded unless you provide and Elevance Health
approves a valid religious or medical explanation as to why you are
not able to get vaccinated that Elevance Health is able to
reasonably accommodate. Elevance Health will also follow all
relevant federal, state and local laws.Elevance Health has been
named as a Fortune Great Place To Work in 2021, is ranked as one of
the 2021 Worlds Most Admired Companies among health insurers by
Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity
and Inclusion. To learn more about our company and apply, please
visit us at careers.ElevanceHealth.com. 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 (including gender identity and gender
expression), 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 ability@icareerhelp.com for assistance.EEO is
the LawEqual Opportunity Employer / Disability / VeteranPlease use
the links below to review statements of protection from
discrimination under Federal law for job applicants and employees.
- EEO Policy Statement
- EEO is the Law Poster
- EEO Poster Supplement-English Version
- Pay Transparency
- Privacy Notice for California ResidentsElevance Health, Inc. is
an E-verify EmployerNeed Assistance?Email us
(elevancehealth@icareerhelp.com) or call 1-877-204-7664
Keywords: Elevance Health, Charleston , Spine Associate Medical Director - Neurosurgery, Executive , Charleston, West Virginia
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