Physician / Other / Florida / Permanent / Associate Medical Director – Maternal Fetal – 100% Remote Job Job

eviCore healthcare

Florida, United States Full-time in Healthcare & Medical
    • Job ID 1829793

    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

    The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal – Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), 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

    No nights, no weekends, not call.
    Predictable work schedule
    Full and part time opportunities
    Salaried position with benefits
    Supportive organization with collaborative culture

    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:
    Flexible scheduling and work/life balance with remote and work from home opportunities
    4 weeks of PTO(starting) per year plus paid holidays
    One week of CME
    Education assistance, tuition reimbursement and professional certifications
    Health, dental, vision, and life benefits with employer funded HSA
    Paid Volunteer Community Service Days
    Ample opportunities for growth, advancement, and promotion
    401k retirement plan with company match of 50% employee contributions up to 6%

    eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation

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