E

Physician / Other / Ohio / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote Job Job

eviCore healthcare

Columbus, OH
1 day ago

Job Description

Join eviCore healthcare as an Associate Medical Director in Maternal Fetal Medicine, where you'll provide critical medical reviews and collaborate with physicians in a supportive, remote work environment. Enjoy flexible scheduling, a competitive benefits package, and opportunities for professional growth.

Key Responsibilities

  • Provide expert medical review for service requests
  • 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 for 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

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 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