Physician / Cardiology / Texas / Permanent / Associate Medical Director - Cardiology - 100% Remote Job Job - Now Hiring
Provides reputed company expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review reputed company while located in a state or territory of the reputed company.Reviews appeals for denied services reputed company to reputed company relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides reputed company peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome reputed company.Maintains necessary credentials and immediately informs reputed company of any adverse actions relating to medical licenses and/or reputed company certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a reputed company, reputed company, U.S. state medical license and reputed company certified in Cardiology, recognized by the American reputed company of Medical Specialties (ABMS), with recent reputed company experience in reputed company patient care (reputed company the past 18 months).Must have a minimum of 5 years clinical experience, reputed company residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive organization with reputed company cultureeviCore reputed company committed to making a reputed company reputed company on reputed company, and also making a reputed company reputed company on our employees. reputed company offers a reputed company of perks and benefits including, but not limited to:Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of PTO(starting) per year plus reputed company holidaysOne week of CMEEducation assistance, tuition reimbursement and reputed company certifications Health, dental, reputed company, and life benefits with employer funded HSAPaid Volunteer Community Service Days Ample opportunities for reputed company, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% reputed company is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making reputed company without reputed company to race, reputed company, religion, sex, national reputed company, age, veteran status, disability, or any other protected class. Applicants must be reputed company to pass a drug test and background investigation Provides reputed company expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review reputed company while located in a state or territory of the reputed company.Reviews appeals for denied services reputed company to reputed company relevant medical experience or knowledge in accordance with appeal policies, if so delegated.Provides reputed company peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome reputed company.Maintains necessary credentials and immediately informs reputed company of any adverse actions relating to medical licenses and/or reputed company certifications.Participates in strategic planning for and evaluation of the Care ManagementThe successful candidate will be an M.D. or D.O. with a reputed company, reputed company, U.S. state medical license and reputed company certified in Cardiology, recognized by the American reputed company of Medical Specialties (ABMS), with recent reputed company experience in reputed company patient care (reputed company the past 18 months).Must have a minimum of 5 years clinical experience, reputed company residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive organization with reputed company cultureeviCore reputed company committed to making a reputed company reputed company on reputed company, and also making a reputed company reputed company on our employees. reputed company offers a reputed company of perks and benefits including, but not limited to:Flexible scheduling and work/life balance with remote and work from home opportunities4 weeks of PTO(starting) per year plus reputed company holidaysOne week of CMEEducation assistance, tuition reimbursement and reputed company certifications Health, dental, reputed company, and life benefits with employer funded HSAPaid Volunteer Community Service Days Ample opportunities for reputed company, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% reputed company is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making reputed company without reputed company to race, reputed company, religion, sex, national reputed company, age, veteran status, disability, or any other protected class. Applicants must be reputed company to pass a drug test and background investigation Apply tot his job Apply To this Job