Associate Medical Director - CarelonRx

Join Our Team as an Associate Medical Director - CarelonRx Are you a dedicated medical professional seeking a flexible career opportunity? As an Associate Medical Director at CarelonRx, you'll have the chance to make a significant impact on healthcare delivery while enjoying the benefits of a primarily remote work environment, with occasional in-person training sessions. CarelonRx is at the forefront of pharmacy benefit management and medication dispensing services, working to enhance affordability and improve member outcomes. Your Responsibilities: Provide expert clinical guidance for pharmacy prior authorizations in accordance with CarelonRx clinical guidelines. Assist clinicians in delivering timely and consistent responses to both members and healthcare providers. Conduct peer-to-peer reviews of prior authorization requests with attending physicians or other healthcare professionals to discuss determinations. Participate in a 24x7 on-call weekend rotation to support our clinical team. What You Need to Succeed: M.D. or D.O. with Board certification from an approved certifying board (ABMS or AOA). An active and unrestricted medical license to practice medicine. Minimum 5 years of clinical experience, or an equivalent combination of education and experience. Residency in a state or territory of the U.S. during the review process. Preferred Qualifications: Experience in utilization management is highly desirable. This position offers a competitive salary range of $220,480 to $396,864. Specific locations with potential opportunities include: District of Columbia, Illinois, Massachusetts, Maryland, New Jersey, New York, and Columbus OH. In addition to salary, Elevance Health provides a comprehensive benefits package that includes health insurance, retirement plan contributions, and various wellness programs. Join us in our mission to improve lives and communities while fostering personal and professional growth. Elevance Health is committed to a diverse and inclusive workplace, welcoming applicants from all backgrounds. We also require candidates in patient-facing roles to be vaccinated against COVID-19 and Influenza, following all relevant regulations.

Created: 2026-03-05