- Elevance Health (Chicago, IL)
- … necessity of requests using clinical appropriateness guidelines. The **Associate Medical Director , Clinical Operations (Surgery)** is responsible for supporting ... Carelon Medical Benefits Management is currently seeking a Board-Certified...regarding applicable clinical criteria. + Perform first level provider appeals of coverage decisions. + Demonstrate and maintain knowledge… more
- Elevance Health (Chicago, IL)
- …Spine Surgeons are encouraged to apply.** The **Clinical Operations Associate Medical Director - Neurosurgery/Orthopedic Spine** is responsible for performing ... involving the spine and/or joints, and high-tech diagnostic imaging. Primary duties may include, but are not limited to:...include, but are not limited to: + Determines the medical necessity of requests using clinical criteria. + Performs… more