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Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% Remote Job Job

eviCore healthcare

San Francisco, CA
19 hours ago
Not specified

Job Description

Join eviCore healthcare as an Associate Medical Director in Cardiology, where you will provide expert medical reviews and collaborate with referring physicians. Enjoy a flexible, remote work environment with a supportive culture and extensive benefits.

Key Responsibilities

  • Provides expert medical review for requests evaluating medical necessity
  • 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. degree
  • Current, active U.S. state medical license
  • Board certified in Cardiology
  • 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
  • URAC and NCQA standards
  • Familiarity with automated processes and computer applications

Benefits & Perks

Flexible scheduling and work/life balance4 weeks of PTO plus paid holidays1 week of CMEEducation assistance and tuition reimbursementHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match