Manager, Clinical Operations Medical Director - Genetic Testing

Elevance Health; Miami (FL); Hybrid; USD 232,000 - 383,000; Full time

Job summary

A prominent health company in Miami is seeking a Manager, Clinical Operations Medical Director to provide leadership in clinical activities and ensure the integrity of significant clinical programs. Applicants must hold an MD or DO degree, possess at least 5 years of clinical experience, and relevant board certifications. The position offers a salary range of $232,596 to $382,122 and operates on a hybrid work model.

Benefits

Comprehensive benefits package

401(k) with matching

Wellness programs

Qualifications

• Minimum of 5 years of clinical experience with expertise in medical management.
• Applied knowledge in clinical integrity, medical policy assessments, and quality improvement initiatives.

Responsibilities

• Provides guidance and support for clinical and quality activities.
• Participates in peer-to-peer discussions and office visits.
• Hires, trains, and evaluates performance of direct reports.

Education

MD or DO degree

Board certification where applicable

Job description

Overview

Manager, Clinical Operations Medical Director - Genetic Testing

Location: This role requires in-office presence 3 days per week to foster collaboration, with flexibility to support productivity and work-life balance. Candidates not within a reasonable commuting distance will not be considered unless an accommodation is granted by law. Alternate locations may be considered.

Responsibilities

• Provides day-to-day guidance, support, and leadership for clinical and quality activities and assists the Medical Director in ensuring clinical integrity of broad and significant clinical programs.
• Supports clinicians in daily tasks, participates in peer-to-peer discussions and office visits with providers and external physicians as needed.
• May participate in a physician on-call rotation for a 24x7 pre-certification unit.
• Assists in practitioner appeal reviews, appropriateness criteria reviews, medical policy and technology assessments, quality improvement initiatives, and practitioner/provider credentialing.
• Hires, trains, coaches, counsels, and evaluates the performance of direct reports.

Minimum Requirements

• MD or DO degree required.
• Minimum of 5 years of clinical experience with expertise in medical management.
• Board certification required where applicable to duties.
• For associates in Puerto Rico who are member or patient facing in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required.

Compensation and Location

For candidates working in person or virtually in the following location(s), the salary range for this position is $232,596 to $382,122.

Locations: District of Columbia, Illinois, Nevada

• The salary range and compensation may vary by geographic location, work experience, education, and/or skill level. Bonus, benefits, and other compensation components are determined at the Company’s sole discretion and are subject to applicable policies and plans.

Benefits and Work Model

Elevance Health offers a comprehensive benefits package and total rewards, including medical, dental, vision, disability, 401(k) with matching, equity stock purchase, life insurance, wellness programs, and financial education resources. The company operates with a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week (and potentially more, depending on role and location).

Vaccination policy: The health of our associates and communities is a priority. In certain patient/member-facing roles, vaccination against COVID-19 and Influenza may be required. Offers may be rescinded if vaccination is not provided with an acceptable explanation, in line with applicable laws.

About Elevance Health

Elevance Health is a health company focused on improving lives and communities and making healthcare simpler. We are a Fortune 25 company committed to making an impact for our members, associates, and the communities we serve.

Equal Opportunity and Accessibility

Elevance Health is an Equal Employment Opportunity employer. All qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender identity or expression, marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other protected status. Applicants who require accommodation to participate in the job application process may contact [e-mail] for assistance. Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws, including local fair chance acts where applicable.