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Physician / Gastroenterology / California / Permanent / Associate Medical Director - Gastro - 100% Remote

eviCore healthcare

Riverside, CA
1 day ago

Job Description

Join eviCore healthcare as an Associate Medical Director in Gastroenterology, providing expert medical review and engaging in strategic planning. Enjoy a supportive environment with flexible work options, competitive benefits, and opportunities for professional growth.

Key Responsibilities

  • Provide expert medical review for service requests
  • 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. with 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 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 holidaysOne week of CMEEducation assistance, tuition reimbursement, and professional certificationsHealth, dental, vision, and life benefits with employer funded HSAPaid Volunteer Community Service Days401k retirement plan with company match