Physician / Surgery - Orthopedics / California / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote
eviCore healthcare
Los Angeles (Downtown), CA
1 month ago
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Job Description
Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, where you will provide expert medical reviews and collaborate with physicians remotely. Enjoy a supportive culture, flexible scheduling, and a comprehensive benefits package, including ample PTO and professional development opportunities.
Key Responsibilities
Provides expert medical review for medical necessity requests
Reviews appeals for denied services
Conducts peer-to-peer discussions with referring physicians
Maintains necessary credentials and informs eviCore of any adverse actions
Participates in strategic planning for Care Management
Required Qualifications
M.D. or D.O.
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 insurancePaid Volunteer Community Service Days401k retirement plan with company match