Physician / Surgery - Orthopedics / California / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote Job Job
eviCore healthcare
San Diego, CA
21 hours ago
Job Description
Join eviCore healthcare as an Associate Medical Director for Orthopedic Surgery, where you'll provide expert medical reviews and collaborate with referring physicians in a supportive, remote work environment. Enjoy a predictable schedule with no nights or weekends, and benefit from generous PTO and professional growth opportunities.
Key Responsibilities
Provide medical review for requests evaluating medical necessity
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. 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
Experience 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