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Physician / Gastroenterology / Nationwide / Permanent / Associate Medical Director – Gastro – 100% Remote Job Job

eviCore healthcare

Not Specified, United States Full-time in Healthcare & Medical
    • Job ID 1826980

    Job Description

    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.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

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