Physician / Other / Pennsylvania / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
eviCore healthcare
Philadelphia, PA
4 days ago
Job Description
eviCore healthcare is seeking an Associate Medical Director specializing in Maternal Fetal Medicine to provide expert medical reviews and collaborate with physicians. This fully remote, salaried position offers a supportive culture and generous benefits, including flexible scheduling and opportunities for professional growth.
Key Responsibilities
Provide expert medical review for requests evaluating medical necessity
Review appeals for denied services
Engage in peer-to-peer discussions with referring physicians
Maintain necessary credentials and inform eviCore of any adverse actions
Participate in strategic planning and evaluation of Care Management
Required Qualifications
M.D. or D.O. degree
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 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 insurancePaid Volunteer Community Service Days401k retirement plan with company match