Medical Director - Colorado License Required

Company: Anthem, Inc.
Location: Denver
Posted on: February 23, 2021

Job Description:

Welcome to the Anthem Careers site! We have been hard at work to improve our job search and application systems to better serve you. It is now easier to find and apply for relevant jobs as well stay connected with Anthem. Here are a few of the updates you may notice:

• No more profiles! We no longer require you to create a log in and password to apply for a job and you won't be able to access previously created profiles, but don't worry - we still have your previous application(s) on file. Due to technical difficulties currently being resolved, the 'Track Your Job Application Status' functionality is not available.
• Job Alerts - If you had previously registered to receive job alerts and wish to continue to receive these notifications, please re-register by clicking the "job alert" button.
• NEW! Didn't find a job that is right for you? Join a Talent Network to stay informed on news and job opportunities with the Anthem Team! It is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other. Our recruiting system uses your email address as your unique identifier. If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address. Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you apply Location: Denver, CO
  Job Family: Medical
  Req #: PS42614
  Date Posted: Dec 8, 2020 YourTalent. Our Vision. At Anthem, Inc., it's a powerful combination, and the foundation upon which we'recreating greater access to care for our members, greater value for ourcustomers, and greater health for our communities. Join us and together we willdrive the future of health care. Thisis an exceptional opportunity to do innovative work that means more to you andthose we serve at one of America's leading health care companies and a FortuneTop 50 Company. Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance for clinical operational aspects of the program. Supports the medical management staff ensuring timely and consistent responses to members and providers. Qualifications
  • M.D. or D.O required.
  • Board certification approved by the American Board of Medical Specialties required.
  • Must possess an active unrestricted medical license to practice medicine in the state of Colorado.--
  • 5--years of clinical experience or any combination of education and experience, which would provide an equivalent background required.
  • Family Practice--Board Specialty highly preferred.--Internal Medicine or Emergency Medicine specialties will be considered.--
  • 1 - 3 years UM, managed care experience preferred.
  • Ability to work PST hours with some on call weekend--coverage required. Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.-- Anthem, Inc.is ranked as one of America's Most Admired Companies among health insurers byFortune magazine and has been named a 2019 Best Employers for Diversity byForbes. To learn more about our company and apply, please visit us at careers.antheminc.com.An Equal Opportunity Employer/Disability/Veteran.Anthem promotes thedelivery of services in a culturally competent manner and considers culturalcompetency when evaluating applicants for all Anthem positions. Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem. EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance. *WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the 'Rip-offs and Imposter Scams' option. Anthem requires a completed online application for consideration of employment for any position.

Keywords: Anthem, Inc., Denver , Medical Director - Colorado License Required, Executive , Denver, Colorado