Physician / Surgery - Orthopedics / Texas / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote Job Job
eviCore healthcare
San Antonio, TX
1 day ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, where you will review medical necessity requests and engage with physicians while enjoying a flexible, remote work environment. Benefit from generous PTO and a supportive, collaborative culture.
Key Responsibilities
Provide medical review for evaluating medical necessity of services
Review appeals for denied services
Engage in peer-to-peer discussions with referring physicians
Participate in strategic planning for Care Management
Required Qualifications
M.D. or D.O. degree
Current, active U.S. state medical license
Board certified in Surgery - Orthopedics
Minimum of 5 years clinical experience
Recent practice experience in direct patient care (within the past 18 months)
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 remote work opportunities4 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