National Medical Director for Surgical Services

Anticipated End Date:

2025-08-01

Position Title:

National Medical Director for Surgical Services

Job Description:

National Medical Director for Surgical Services

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Responsible for serving as a National Medical Director of the general surgery solution, leading the strategic implementation of improving the health of the people we serve, influencing product strategy and design and medical management approaches that impact health care quality, cost, and outcomes, and improving access to and usefulness of health improvement tools offered to Elevance members and external clients.

How you will make an impact:

• Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models.

• Contributes to development of Medical Management and Quality Management strategies. Responsible for consistent adoption and implementation of all medical policies.

• Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management of National Accounts in cooperation with Regional Health Care Management (HCM) team and Chief Medical Officer.

• Provides clinical expertise in sales planning and participates in the acquisition and retention of National Accounts.

• Collaborates with HCM leaders to refine and improve provider and medical management services to meet the needs of National Accounts.

• Assures the clinical relevance of account reporting regarding use of medical services by National Accounts members.

• Communicates medical management trends and recommends company medical management responses to National Accounts.

• Contributes to efforts to establish effective physician and hospital quality and cost profiling and education.

• Contributes to improved provider relationships and national associations and societies (i.e., AMA, Coalition of Specialty Societies).

• Represents company at nationally recognized speaking engagements to promote health programs.

Minimum Requirements:

• Requires MD or DO and minimum of 12 years of healthcare experience; or any combination of education and experience, which would provide an equivalent background.

• Requires current unrestricted medical licensure in applicable state(s).

• Board certification required if applicable to the duties being performed.

• Requires experience with population or segment health management and the education and coaching of members on wellness, prevention, and healthy lifestyles.

Preferred Qualifications:

• Board certification in general surgery or a surgical subspecialty is strongly preferred.

• Knowledge of leading competitive product offerings in the healthcare industry and marketplace standards and managed care knowledge strongly preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $273,084 to $448,638.

Locations: Illinois, DC, and Nevada.

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). 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 un