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Appeals Medical Director - Oncology

Elevance Health

IL-CHICAGO, CA-COSTA MESA, CA-WOODLAND HILLS, DC-WASHINGTON, DE-WILMINGTON, MA-WOBURN, MD-HANOVER, NC-DURHAM, NJ-ISELIN, NY-Lake Success, NY-NEW YORK, OH-CINCINNATI, OH-COLUMBUS, OH-MASON, OH-SEVEN HILLS, TX-GRAND PRAIRIE, VA-ASHBURN, IL, CA, CA, DC, DE, MA, MD, NC, NJ, NY, OH, TX, VA, U.S.
Full-time, Remote
Posted Feb 26, 2026
Hybrid

Compensation

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About the role

The Appeals Medical Director for Oncology is responsible for the appeal reviews for physical health medical services, to ensure the appropriate and most cost-effective medical care is received.

Responsibilities

  • Appeal reviews for physical health medical services
  • Developing and implementing programs to improve quality, cost, and outcomes
  • Providing clinical consultation and serving as clinical/strategic advisor
  • Identifying cost of care opportunities

Requirements

  • MD or DO and Board certification approved by one of the following certifying boards
  • Must possess an active unrestricted medical license to practice medicine or a health profession
  • Minimum of 10 years of clinical experience

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Short and long term disability benefits
  • Wellness programs and financial education resources

About the Company

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.

Job Details

Salary Range

$247,840 - $446,112/yearly

Location

IL-CHICAGO, CA-COSTA MESA, CA-WOODLAND HILLS, DC-WASHINGTON, DE-WILMINGTON, MA-WOBURN, MD-HANOVER, NC-DURHAM, NJ-ISELIN, NY-Lake Success, NY-NEW YORK, OH-CINCINNATI, OH-COLUMBUS, OH-MASON, OH-SEVEN HILLS, TX-GRAND PRAIRIE, VA-ASHBURN, IL, CA, CA, DC, DE, MA, MD, NC, NJ, NY, OH, TX, VA, U.S.

Employment Type

Full-time, Remote

Original Posting

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