bioneditor.blogg.se - Aim specialty health appeals

You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change.

A Fortune 20 company with a longstanding history in the healthcare industry, 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. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.Įlevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. 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 Company’s sole discretion, consistent with the law. 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. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. 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.

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.

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 offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. In 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). Locations: California Colorado Nevada Washington State Jersey City, NJ New York City, NY Ithaca, NY and Westchester County, NY + Requires an MD and Board certification in a medical specialty required.įor candidates working in person or remotely in the below locations, the salary* range for this specific position is $158,725 to $285,692. + Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation. + Ensures consistent use of medical policies when making medical necessity decisions. + Makes medical necessity determinations for grievance and appeals appropriate for their specialty. + Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested.

+ Ensures timely completion of clinical case reviews for their board certified specialty. Primary duties may include, but are not limited to: Responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology. + National +50 Miles away from nearest PulsePoint, National +50 Miles away from nearest PulsePointĬlinical Operations Associate Medical DirectorĪIM Specialty Health is a benefit-management leader in Illinois and a proud member of Elevance Health’s family of companies. At Elevance Health in Dover, Delaware, United States