Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United States.
Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if so delegated.
Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
Participates in strategic planning for and evaluation of the Care Management
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Cardiology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
Must have a minimum of 5 years clinical experience, beyond 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 required
No nights, no weekends, not call.
Predictable work schedule
Full and part time opportunities
Salaried position with benefits
Supportive organization with collaborative culture
eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to:
Flexible scheduling and work/life balance with remote and work from home opportunities
4 weeks of PTO(starting) per year plus paid holidays
One week of CME
Education assistance, tuition reimbursement and professional certifications
Health, dental, vision, and life benefits with employer funded HSA
Paid Volunteer Community Service Days
Ample opportunities for growth, advancement, and promotion
401k retirement plan with company match of 50% employee contributions up to 6%
eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation
Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% Rem • San Francisco, CA, US
Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria while located in a state or territory of the United Sta...Mostrar más
As a physician-founded and led organization, ensuring everyone has access to quality healthcare is what inspires us.The magic we’ve created lies in Carbon Health’s custom EHR and the collaboration ...Mostrar más
Seeking a Locums Cardiovascular Inpatient Anesthesiologist in California Coverage dates: Sep 3 2022 - Sep 26 2022 Scheduled Clinic Hours + Call 1-3 on call per week The ideal candidate must be BC/B...Mostrar más
BE/BC Pathologist to join our team in Redwood City, CA.The Permanente Medical Group, Inc.Northern and Central California and an 80-year tradition of providing quality medical care.Board Certificati...Mostrar más
Community Living Center Medical Director.Location: San Francisco VA Health Care System.Work Schedule: Monday – Friday, 8:00am – 4:30pm.The San Francisco VA Health Care System is seeking a dedicated...Mostrar más
Nucs AI is revolutionizing cancer care through cutting-edge AI and medical imaging technology.Founded in 2024 by a multidisciplinary team of oncologists, AI researchers, and healthcare innovators, ...Mostrar más
K+ | Outpatient Only | Mon–Fri, No Weekends | Northern CA.Locations: Antioch, Clayton, Concord, Walnut Creek, Oakland, Pinole, Fremont, Hayward, Pleasanton, Fairfield, Vacaville, Redding, Sacrament...Mostrar más
LOCUMS Interventional Cardiologist Palm Springs CARoutinely take 1-2 weeks of call per month ongoing for the next few monthsClean malpractice history.Must be Board Certified and CA licensed, CA Flu...Mostrar más
Medical Director / Senior Medical Director (Neurology & Early Development).Find out exactly what skills, experience, and qualifications you will need to succeed in this role before applying below.S...Mostrar más
Remote eligible; preference for candidates located in the San Francisco Bay Area.We are supporting a pathology and diagnostics organization in the search for a Medical Director,.This role provides ...Mostrar más
AlliedTravelCareers is working with Coast Medical Service to find a qualified Interventional Radiology in Redwood City, California, 94061!.Coast Medical Service is a nationwide travel nursing & all...Mostrar más
Doctor of Medicine | Occupational Medicine.Competitive weekly pay (inquire for details) .LocumJobsOnline is working with Rhino Medical to find a qualified Occupational Medicine MD in San Francisco,...Mostrar más
The oncology Senior Medical Science Liaison functions as a highly trained, field-based, scientific expert who engages oncology health care professionals to exchange clinical, scientific, and resear...Mostrar más
Medical Director for a Quality Improvement and Care Coordination Program in the San Francisco Bay area, CA.A collegial health system in the San Francisco Bay area is recruiting for an experienced M...Mostrar más
Sutter West Bay Medical Group (SWBMG) is seeking a Board-Certified/Board-Eligible Gastroenterologist with advanced training in Pancreatology to join a highly regarded, innovative team of interventi...Mostrar más
Clinical Director 4-day work weekBrand new state-of-the-art clinic opening Summer 2019!Employed practice offering a competitive salary, relocation and a comprehensive benefits package to include $3...Mostrar más
Cytovale is a medical diagnostics company focused on providing a faster, more insightful way to diagnose fast-moving and immune-mediated diseases.Cytovale’s IntelliSep test is the first and only st...Mostrar más
I work with a plasma donation center in Oakland, CA.We have an open position for a Medical Director (MD or DO) to join us 4 hours a week.No specialty or experience required.Paid training provided, ...Mostrar más
%20-%20Sutter%20Health%20Valley%20Area){kind=logo}
