Medical Director (contract)

**Job ID: JP00046529** **Anticipated Start Date:** **06/22/2026** Please note this is the target date and is subject to change. BCForward will send official notice ahead of a confirmed start date. **Elevance Health** is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. Responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most cost effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an entire clinical program. **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. * May conduct peer\-to\-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations. * Serves as a resource and consultant to other areas of the company. * May be required to represent the company to external entities and/or serve on internal and/or external committees. * May chair company committees. * Interprets medical policies and clinical guidelines. * May develop and propose 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. * This level may provide oversight, direction, and guidance to Medical Director Associates. * 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. **Requirements**: * Requires MD or 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. * Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background. * For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. * Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency. * Associates in this role are expected to have strong oral, written, and interpersonal communication skills, problem\-solving skills, facilitation skills, and analytical skills. * Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties, principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. **Job Type:**Contract only **Additional Details:** * Medical Director, Internal Medicine or Geriatrician, * 10\+years' experience, prior UM experience would be preferred * **Must have NY License** * Work schedule/hours: 32\-40 hrs per week, M\-F 8am\-5pm * 100% remote * Candidates must reside within 50 miles or 1\-hour commute each way of a relevant Elevance Health location. Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, contractors are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. **About BCForward:** Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black\-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally. BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People\-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work. **BCForward** is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability. To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process. This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at\-will regardless of the anticipated assignment duration. **Pay Rate Range** 100\.54 \- 223\.41 USD hourly **Additional Notes** The pay range is the range BCForward 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. **Benefits Information** BCForward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer\-provided group life, voluntary life insurance, short\-term disability, long\-term disability, and 401k. 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*.* This does not encompass additional non\-standard compensation (e.g., benefits, paid time off, per diem, etc.).