Physician / Other / Illinois / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
eviCore healthcare
Not Specified, IL
4 days ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Maternal Fetal Medicine, where you will leverage your medical expertise to evaluate service necessity and collaborate with healthcare professionals. Enjoy a supportive work environment with flexible scheduling and numerous benefits, all while working 100% remotely.
Key Responsibilities
Provide expert 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 adverse actions
Participate in strategic planning and evaluation of Care Management
Required Qualifications
M.D. or D.O. with a current, active U.S. state medical license
Board certified in Maternal - Fetal Medicine
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
URAC and NCQA standards familiarity
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 and tuition reimbursementHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match