Physician / Surgery - Orthopedics / California / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote Job Job
eviCore healthcare
San Francisco, CA
3 days ago
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This job listing is no longer available for applications. The position may have been filled or the posting period has ended.
Job Description
Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, providing expert medical reviews and engaging in peer discussions, all while enjoying a supportive, remote work environment with ample benefits and opportunities for growth.
Key Responsibilities
Provides expert medical review for evaluating medical necessity of services
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
Familiarity with automated processes and computer applications
Benefits & Perks
Flexible scheduling and work/life balance4 weeks of PTO plus paid holidays1 week of CMEEEducation assistance and tuition reimbursementHealth, dental, vision, and life benefitsEmployer funded HSAPaid Volunteer Community Service Days401k retirement plan with company match