Medical Director - Post Acute Care

We need to output HTML fragment only, with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. We need to parse the posting. Key info: - Sign on bonus: $10,000 (that's a sign-on bonus, could be part of Benefits or Pay? It's a bonus, maybe Pay? The instruction: include Pay/Schedule/Benefits sections only if posting actually states them. We have sign on bonus, schedule: "Schedule: 11:00AM-8:00PM CT. Will also require one weekend coverage shift a month. Part time options with at least one weekend day per week." So schedule info present. - Virtual: This role enables associates to work virtually full-time, with exception of required in-person training sessions... Alternate locations may be considered if candidates reside within a commuting distance... etc. This is about work arrangement, maybe part of About the role or Benefits? Not a specific benefit. - About the role: description of Carelon, Elevance Health, purpose, etc. Also "The Clinical Operations Medical Director will be responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers." Then "How You Will Make An Impact" bullet list. - Responsibilities: The bullet list under "How You Will Make An Impact": ensures timely completion of clinical case reviews..., makes physician to physician calls..., makes medical necessity determinations..., ensures consistent use of company medical policies..., brings to their supervisors attention any case review decisions that require Medical Director review or policy interpretation. - Minimum Requirements: MD/DO and Board certification approved by ABMS or AOA, active unrestricted medical license, minimum 1 year experience with clinical case reviews (waived for Cardiology, Oncology, Interventional Pain). Board certification in a medical specialty required. - Preferred Skills: Board certified in Physical Medicine and Rehab is preferred. - Benefits: Not explicitly listed except sign on bonus maybe. Also mention "We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs..., medical, dental, vision, short and long term disability benefits, 401(k)+match, stock purchase plan, life insurance, wellness programs and financial education resources". That's from Elevance Health general description. That is benefits info. So we can include Benefits section with those items. - Pay: Not explicitly stated besides sign on bonus. No base salary. So we should not create Pay section unless posting actually states them. It does not state base pay. So we omit Pay. - Schedule: we have schedule info. - Also note "Sign on bonus: $10,000" could be placed under Benefits or maybe a separate "Compensation" but we don't have Pay section. Could include under Benefits as a bullet. We must not repeat job title as heading. No Job ID. We must remove boilerplate: EEO, legal, etc. Also remove duplicated lines, application instructions. We need to preserve all substantive information, not invent. We need to output only HTML fragment. Let's structure:

About the role

Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health. The Clinical Operations Medical Director will be responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.

Responsibilities

• Ensures timely completion of clinical case reviews for their board certified specialty.
• Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested.
• Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
• Ensures consistent use of company medical policies when making medical necessity decisions.
• Brings to their supervisors attention, any case review decisions that require Medical Director review or policy interpretation.

Requirements

Requires 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. Minimum of 1 year of experience with clinical case reviews for medical necessity. The minimum of 1 year of experience with clinical case reviews would be waived for the following specific specialties only; Cardiology, Oncology, and Interventional Pain specialties. Board certification in a medical specialty required.

Skills

Board certified in Physical Medicine and Rehab is preferred.

Benefits

• Sign‑on bonus: $10,000
• Market‑competitive total rewards including merit increases, paid holidays, Paid Time Off, and incentive bonus programs
• Medical, dental, vision, short‑ and long‑term disability benefits
• 401(k) with company match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

Schedule

Schedule: 11:00AM‑8:00PM CT. Will also require one weekend coverage shift a month. Part‑time options with at least one weekend day per week. Virtual: This role enables associates to work virtually full‑time, with the exception of required in‑person training sessions, providing maximum flexibility and autonomy. Alternate locations may be considered if candidates reside within a commuting distance from an office. Per 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.

We must ensure we didn't include Pay section. Good. Check for any leftover boilerplate: we removed EEO, legal, vaccination requirement, etc. Also removed "Please be advised that Elevance Health only accepts resumes for compensation from agencies..." etc. Also removed "Who We Are", "How We Work", etc. However some of that content might be considered substantive about the company; but the instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. The "Who We Are" and "How We Work" sections are generic company description; they might be considered boilerplate? The instruction says to preserve ALL substantive information; do NOT invent or summarize away detail. The "Who We Are" and "How We Work" are substantive about the company, but they are generic and could be considered boilerplate? The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. It does not explicitly say to remove generic company overview. However earlier they said "Prefer a few substantive sections over many thin ones." The "Who We Are" and "How We Work" could be considered part of About the role. We already included a brief About the role paragraph that captures the essence. The longer generic sections could be considered duplication. We already captured the key points: whole-health approach, purpose, etc. The rest about Fortune 25, culture, values, etc. Might be considered boilerplate but not explicitly listed. Safer to keep them? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." If we omit those details, we are summarizing away detail. However we already captured some details; but we omitted specifics like "Fortune 25 company", "culture designed to advance strategy", "values and behaviors", "total rewards" (we captured benefits). The "total rewards" we captured as benefits. The "Fortune 25" maybe not essential but could be considered substantive. However the instruction also says "Prefer a few substantive sections over many thin ones." So we could keep a concise About the role that includes the key points; omitting some details might be considered summarizing away detail. But we could include them as part of About the role paragraph. Let's incorporate the additional details: "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." Also "We are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business." Also "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." Also "Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates 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." Also "The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation." That's a requirement about vaccination; could be considered a requirement. But it's a condition for employment; we could include under Requirements. We need to decide what to keep. The instruction says remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. Vaccination requirement is not exactly those categories; it's a job requirement related to health and safety. Might be considered substantive. However many job postings include such requirement; we could keep it. But we also need to avoid creating sections with filler like "commensurate with experience". We have no such. Given the length, maybe we should keep a concise but still include key points: about the role (company description, purpose, hybrid work, vaccination requirement). We'll incorporate into About the role paragraph. Let's craft About the role paragraph: Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole‑health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty‑care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health. Elevance Health is a Fortune 25 company with a longstanding history in healthcare, seeking leaders passionate about impacting members and communities. We foster a culture that advances strategy and supports personal and professional growth, guided by our values and behaviors. The Clinical Operations Medical Director will support the medical management staff to ensure timely and consistent medical decisions for members and providers. This role is virtual‑first, allowing full‑time remote work except for required in‑person training sessions; alternate locations may be considered for candidates within a reasonable commuting distance. Per Elevance Health’s hybrid/work‑from‑home policy, candidates not within a