Medical Director Lead (Medical Oncology) AIM Specialty Health

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 as 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 and you can still track your status by clicking on the “Track Your Job Application Status” button.

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

Medical Director Lead (Medical Oncology) AIM Specialty Health

Your Talent.

Our Vision.

At AIM Specialty Health (AIM), a proud member of the Anthem, Inc.

family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities.

Join us and together we will drive the future of health care.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

Location: Remote

Responsible for leading physician efforts in supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.

Primary duties may include, but are not limited to:
Provides oversight to physicians and ensures timely completion of clinical case reviews for their board certified specialty.

Ensures consistent use of company medical policies when making medical necessity decisions.

Educates and provides direct medical coverage decision support as needed for team of physician advisors.

Ensures system integrity in alignment with all relevant clinical criteria as related to sources which include client medical policy, compendia alignment, pathway requirements, and CMS guidance.

Interprets and provides feedback on client medical policy.

Provides oversight for clinical integration during implementations, clinical updates, and any system clinical change requirements.

Provides clinical direction for new oncology program expansions.

Participates in AIM Clinical Pathway development and system implementations.

Develops and/or supports workflow and best practices for clinical integration processes.

Qualifications
Requires an MD.

2 years of experience with clinical case reviews for medical necessity preferred.

Board certification in Medical Onocology required.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Anthem, Inc.

has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes.

To learn more about our company and apply, please visit us at careers.antheminc.com.

An Equal Opportunity Employer/Disability/Veteran.

Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency 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.

Related Post