Physician / Surgery - Orthopedics / California / Permanent / Associate Medical Director - Orthopedic Surgery - 100% Remote
eviCore healthcare
Los Angeles, CA
2 days ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Orthopedic Surgery, offering a flexible schedule and a collaborative culture. Provide expert medical reviews and peer discussions while benefiting from a supportive organization dedicated to employee growth and work-life balance.
Key Responsibilities
Provides expert medical review for requests 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. with a current, active U.S. state medical license
Board certified in Surgery - Orthopedics
Minimum of 5 years clinical experience beyond residency/fellowship
Recent practice experience in direct patient care (within the past 18 months)
Knowledge of applicable state and federal laws, URAC and NCQA standards
Familiarity with automated processes and computer applications and systems
Benefits & Perks
Flexible scheduling and work/life balance4 weeks of PTO per year plus paid holidaysOne week of CMEEducation assistance, tuition reimbursement and professional certificationsHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match of 50% employee contributions up to 6%