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

eviCore healthcare

San Francisco, CA
8 hours ago

Job Description

Join eviCore healthcare as an Associate Medical Director in Gastroenterology, where you'll provide expert medical reviews, engage in peer discussions, and contribute to strategic planning—all while enjoying a flexible, remote work environment with generous benefits.

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 adverse actions
  • Participate in strategic planning for Care Management

Required Qualifications

  • M.D. or D.O. with current 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

Preferred Qualifications

  • Knowledge of 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