No salary listed — similar Administrative Medicine roles pay ~$295k (median of 292 jobs)

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Elevance Health
Durham, North Carolina · Remote OK

Medical Director - Individual Segment

Administrative Medicine 8.2 Work-LifeNo callNo nightsFull-Time
Posted 1h ago · Verified live

About the Role

Remote health plan medical director. Utilization management. Durham, NC. Full-time virtual.

Join Elevance Health as a Medical Director – Individual Segment, Remote in Durham, North Carolina, United States.

Benefits & Compensation

  • Merit Increases
  • Paid Holidays
  • Paid Time Off
  • Incentive Bonus Programs
  • Medical, Dental, Vision
  • Short and Long Term Disability
  • 401(k) + Match
  • Stock Purchase Plan
  • Life Insurance
  • Wellness Programs

Work Schedule

  • Full-Time position.
  • Remote position - work from anywhere.
  • No call required.
  • Day shift only - no nights.

This position offers no call requirements, day shifts only, remote work flexibility. Work with Elevance Health in Durham, North Carolina, United States.

Key Responsibilities

The Medical Director is responsible for clinical policy development, utilization management, and conducting peer-to-peer clinical reviews to ensure quality care outcomes. They also serve as a consultant to internal teams and represent the company to external entities regarding medical policies and clinical guidelines.

Requirements

Candidates must possess an MD or DO degree with active, unrestricted medical licensure and board certification from the ABMS or AOA. A minimum of 10 years of clinical experience is required, with a strong preference for experience in managed care and utilization management.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
10+ years of experience

Certifications

Board Certification

Key Skills

Clinical policy developmentUtilization reviewUtilization managementMedical necessity reviewBenefit determinationPeer-to-peer clinical reviewClinical operational guidanceHealthcare quality improvementProgram managementManaged careInternal medicineFamily practice

Administrative Medicine — Physician Career Context

Elevance Health holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 81/100, 120 active listings.

Physician pay on WeekdayDoc is up 9.1% vs. the prior quarter (through Aug 2026).

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Medical Director - Individual Segment at Elevance Health a 8.2 out of 10 for work-life balance — classified as excellent. This places the position in the top 10% in Physician roles — ranked against 18,195 active Physician roles listings on WeekdayDoc. Contributing factors include no on-call duties, no night shifts, remote work flexibility.

Position Insights

AI ANALYSIS

This role scores 8.2/10 on work-life balance for Administrative Medicine roles. No call coverage keeps hours predictable.

Career trajectory: This position offers advancement within 2-3 years. The compensation analysis shows this employer pays...

Benefits analysis: Compared to 292 similar roles, this listing's benefits package ranks...

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About Elevance Health

Hospitals and Health Care
Indianapolis, Indiana
10,000+ employees

Benefits & Perks

Merit Increases
Paid Holidays
Paid Time Off
Incentive Bonus Programs
Medical, Dental, Vision
Short and Long Term Disability
401(k) + Match
Stock Purchase Plan