Physician / Gastroenterology / Ohio / Permanent / Associate Medical Director - Gastro - 100% Remote Job Job
eviCore healthcare
Columbus, OH
1 day ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Gastroenterology, where you'll provide expert medical reviews and engage in peer discussions to enhance patient care. Enjoy a supportive, remote work environment with opportunities for professional growth and a comprehensive benefits package.
Key Responsibilities
Provide medical review for requests evaluating medical necessity
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. degree
Current active U.S. state medical license
Board certified in Gastroenterology
Minimum of 5 years clinical experience
Recent practice experience in direct patient care (within the past 18 months)
Preferred Qualifications
Knowledge of state and federal laws
Familiarity with URAC and NCQA standards
Experience 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 benefitsPaid Volunteer Community Service Days401k retirement plan with company match