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Physician / Surgery - Orthopedics / North Carolina / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote

eviCore healthcare

Charlotte, NC
16 hours ago

Job Description

Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, where you will provide expert medical reviews and collaborate with healthcare professionals in a supportive, remote work environment. Enjoy a predictable schedule with ample opportunities for professional growth and a comprehensive benefits package that prioritizes work-life balance.

Key Responsibilities

  • Provide expert 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 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 Surgery - Orthopedics
  • 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, tuition reimbursement, and professional certificationsHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match