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Physician / Gastroenterology / Texas / Permanent / Associate Medical Director - Gastro - 100% Remote

eviCore healthcare

Brownsville, TX
1 day ago

Job Description

Join eviCore healthcare as an Associate Medical Director in Gastroenterology, where you'll conduct medical reviews and participate in Care Management planning. Enjoy a flexible remote work environment and a supportive culture, with ample opportunities for professional growth.

Key Responsibilities

  • Provide expert medical reviews 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. with a current, active U.S. state medical license
  • Board certified in Gastroenterology
  • Recent practice experience in direct patient care (within the past 18 months)
  • Minimum of 5 years clinical experience beyond residency/fellowship
  • Knowledge of applicable state and federal laws, URAC and NCQA standards
  • Familiarity with automated processes and computer applications and systems

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 benefits with employer funded HSAPaid Volunteer Community Service DaysOpportunities for growth, advancement, and promotion401k retirement plan with company match