Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
eviCore healthcare
Riverside, CA
10 hours ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Maternal Fetal Medicine, where you'll provide expert medical reviews and collaborate with peers in a supportive, remote work environment. Enjoy a flexible schedule, ample PTO, and opportunities for professional growth while making a positive impact on healthcare.
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 eviCore of any adverse actions
Participate in strategic planning and evaluation of Care Management
Required Qualifications
M.D. or D.O.
Current, active U.S. state medical license
Board certified in Maternal - Fetal Medicine
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
Familiarity with automated processes and computer applications
Benefits & Perks
Flexible scheduling and work/life balance with remote opportunities4 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