Physician / Surgery - Orthopedics / Texas / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote
eviCore healthcare
Brownsville, TX
17 hours ago
Job Description
Join eviCore healthcare as an Associate Medical Director for Orthopedic Surgery in a fully remote role. You will provide expert medical reviews and collaborate with physicians, all while maintaining a flexible work-life balance and enjoying generous benefits.
Key Responsibilities
Conduct medical reviews for service necessity
Review appeals for denied services
Engage in peer-to-peer discussions with physicians
Maintain necessary credentials and inform 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 insuranceEmployer-funded HSAPaid Volunteer Community Service Days401k retirement plan with company match