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Physician / Surgery - Orthopedics / New York / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote

eviCore healthcare

New York City, NY
1 day ago

Job Description

Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, providing expert medical reviews and peer discussions while enjoying a flexible remote work environment. Ideal candidates will have strong clinical experience and a commitment to improving healthcare outcomes.

Key Responsibilities

  • Provide medical review for service necessity evaluations
  • Review appeals for denied services
  • Conduct peer-to-peer discussions with referring physicians
  • Maintain necessary credentials and inform eviCore of any adverse actions
  • Participate in strategic planning for Care Management

Required Qualifications

  • M.D. or D.O.
  • Current, active U.S. state medical license
  • Board certified in Surgery - Orthopedics
  • Minimum of 5 years clinical experience

Preferred Qualifications

  • Knowledge of state and federal laws
  • URAC and NCQA standards familiarity
  • Familiarity with automated processes and systems

Benefits & Perks

Flexible scheduling and work/life balance4 weeks of PTO plus paid holidays1 week of CMEEducation assistance and tuition reimbursementHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match