Thinking about joining eviCore as an Associate Medical Director?
Working at eviCore allows you to make a difference in people’s lives by improving the quality of their healthcare. As an Associate Medical Director, you will feel intellectually stimulated and challenged, and you will be empowered by the difference you are making on a more global level in healthcare. Additional advantages of working at eviCore as an Associate Medical Director include:
Predictable work schedules: No nights, no weekends, no call
100% Remote with full and part-time opportunities
Salaried position with benefits
The ability to impact healthcare on a larger scale
Supportive organization with collaborative culture: Hands-on training provided in our Melbourne, FL office
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
Documents all actions related to clinical review sessions and attests to appeal review qualifications as required.
Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
Participates in strategic planning for and evaluation of the Care Management process/unit.
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Radiation Oncology, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA) with recent practice experience in direct patient care (within the past 18 months).
Must have a minimum of 5 years clinical experience, beyond residency/fellowship
Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required
OUR COMPANY AND WHAT WE OFFER
eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:
100% remote with full and part-time opportunities available
Four weeks of PTO per year plus 8 paid holidays
One week of company paid CME
Full medical, dental, and vision benefits with employer funded HSA starting day 1
Time away from work programs including employer paid short-term and long-term disability, caregiver leave, BTO (bought-time off) options, company paid volunteer community service hours, and more
Employee Assistance Program (EAP), health coaching and stress management solutions, Adoption Assistance Program, two comprehensive employee discount programs, and additional resources to support your well-being
Life & Accidental Death Dismemberment and additional Accidental Injury, Critical Illness, and Hospital Care Insurance
401k retirement plan with company match of 50% employee contributions up to 6%
Some benefits and programs may have a service requirement based on your status of part-time or full-time.
Telecommuting is allowed.
Internal Number: 2019-6307
About eviCore healthcare
Specifically designed with the size and scale to address the complexity of today’s and tomorrow’s healthcare system, eviCore is a company committed to advancing healthcare management through intelligent care – and enabling better outcomes for patients, providers, and plans.
Ours is an evidence-based approach that leverages our exceptional capabilities, powerful analytics, and acute sensitivity to the challenges and needs of everyone involved across the healthcare continuum. Applying proven talent and leading-edge technology, we harness healthcare’s evolving demand and inherent change to realize healthcare innovation and deliver improved results for everyone.
eviCore brings together the broadest range of integrated, innovative intelligent care management solutions delivering intelligent care across the entire healthcare continuum, with a focus on quality healthcare that enables better outcomes for our patients, providers, and plans.?
eviCore’s Radiology benefit management solution reduces inappropriate utilization, decreases inefficiency and waste, and increases quality in diagnostic imaging by utilizing evidence-based criteria, including medical society standards, as well as up-to-date peer-reviewed medical literature.
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