Join our dynamic team where you will play a crucial role in delivering expert medical reviews for requests assessing the necessity of services that may not align with established utilization review criteria, all while working from any state or territory in the U.S. Your expertise will shine as you diligently review appeals for services that have been denied, utilizing your current medical knowledge to align with appeal policies, if assigned.

Engage in meaningful peer-to-peer discussions with referring physicians to clarify clinical details and effectively communicate review outcomes. It’s essential to uphold your credentials and promptly notify eviCore of any changes regarding your medical licenses or board certifications. Additionally, you will have the opportunity to contribute to the strategic planning and assessment of our Care Management initiatives, playing a pivotal role in shaping the future of patient care. Join us in making a difference in healthcare!