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Physician / Surgery - Orthopedics / Illinois / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote Job Job

eviCore healthcare

Not Specified, IL
3 days ago

This Job Position Has Expired

This job listing is no longer available for applications. The position may have been filled or the posting period has ended.

Job Description

Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, providing expert medical reviews and engaging in strategic planning while enjoying a supportive, collaborative culture and a flexible work environment.

Key Responsibilities

  • Provide timely expert medical review for service requests
  • 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
  • Recent practice experience in direct patient care (within the past 18 months)
  • Minimum of 5 years clinical experience beyond residency/fellowship

Preferred Qualifications

  • Knowledge of applicable state and federal laws
  • Familiarity with URAC and NCQA standards
  • Familiarity with automated processes and computer applications

Benefits & Perks

Flexible scheduling and work/life balance4 weeks of PTO plus paid holidaysOne week of CMEEducation assistance, tuition reimbursement, and professional certificationsHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match of 50% up to 6%