Physician / Other / Pennsylvania / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Job Job
eviCore healthcare
Philadelphia, PA
2 days ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Maternal Fetal Medicine, providing expert medical reviews and engaging with physicians in a supportive, remote working environment. Enjoy a flexible schedule, competitive benefits, and opportunities for professional growth.
Key Responsibilities
Provides expert medical review for requests evaluating medical necessity
Reviews appeals for denied services
Engages in peer-to-peer discussions with referring physicians
Maintains necessary credentials and informs eviCore of any adverse actions
Participates 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 Maternal - Fetal Medicine
Recent practice experience in direct patient care (within the past 18 months)
Minimum of 5 years clinical experience beyond residency/fellowship
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 and tuition reimbursementHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match