Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
eviCore healthcare
San Francisco, CA
16 hours ago
Job Description
Join eviCore healthcare as an Associate Medical Director in Maternal Fetal Medicine, where you will provide crucial medical reviews and engage in collaborative care management, all from the comfort of a remote setting. Enjoy a supportive culture with ample growth opportunities and a predictable work schedule.
Key Responsibilities
Provide expert medical review for evaluating medical necessity of services
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.
Current, active U.S. state medical license
Board certified in Maternal - Fetal Medicine
Minimum of 5 years clinical experience
Preferred Qualifications
Recent practice experience in direct patient care (within the past 18 months)
Knowledge of applicable 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 CMEEducation assistance and tuition reimbursementHealth, dental, vision, and life benefitsPaid Volunteer Community Service Days401k retirement plan with company match