Medical Director-Part-time. Location: Virtual-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. Alternate locations may be considered Schedule: Part-time 20 hours a week. West coast hours. The Medical Director oversees the delivery of physical and/or behavioral health services to ensure members receive appropriate, high-quality, and cost-effective care. This role may lead the design and implementation of initiatives to improve quality, outcomes, and affordability, and provides clinical consultation and strategic guidance to strengthen clinical operations. The Medical Director also identifies cost-of-care opportunities, serves as a clinical resource to staff (including Medical Director Associates), and may hold accountability for an entire clinical program. This position is initially 20 hours per week and includes weekend coverage on a 1:4 rotation for the Pacific Time Zone. Weekly hours may expand in 2027. Primary duties may include, but are not limited to: Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients office visits with providers and external physicians. Serves as a resource and consultant for other areas of the company. Represent the company to external entities and/or serve on internal and/or external committees. Chair company committees. Interprets medical policies and clinical guidelines. Develops and proposes new medical policies based on changes in healthcare. 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. Works independently with oversight from immediate manager. May be responsible for an entire clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development/implementation, and overseeing clinical/non-clinical activities. Attendance at regular operational meetings will be expected. Opportunities to participate and lead interdisciplinary team meetings are available and may be required in the future. Weekly team meetings will require attendance. There are also other business and team-related meetings that will require participation and attendance with regularity (monthly, quarterly). Requirements MD/ DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA). Must possess an active unrestricted medical license to practice medicine or a health profession. 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. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a state agency. For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. Additional Information: Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. Individuals with experience in Oncology, Pediatrics, or Pain Medicine would be preferred. Pacific Coast Time zone would be preferred but is not required. For candidates working in person or virtually in the below locations, the salary - range for this specific position is $130,116 to $223,056 Location(s): California, Colorado, Illinois, Nevada, Washington State. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401 k 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 wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level:Director Equivalent. Workshift: