Talent.com
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% RemoeviCore healthcare • San Diego, CA, United States
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo

Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo

eviCore healthcare • San Diego, CA, United States
30+ days ago
Job type
  • Part-time
Job description

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 ManagementThe successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, 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 requiredNo nights, no weekends, not call.Predictable work scheduleFull and part time opportunitiesSalaried position with benefitsSupportive organization with collaborative cultureeviCore 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 opportunities4 weeks of PTO(starting) per year plus paid holidaysOne week of CMEEducation assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSAPaid 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

Create a job alert for this search

Physician California • San Diego, CA, United States

Related jobs
State Licensed Associate Medical Director

State Licensed Associate Medical Director

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for an Associate Medical Director - PRN (Remote U.Key Responsibilities Oversee clinical decision-making aspects of the Utilization Management program Collaborate with Region...Show more
Last updated: 1 day ago • Promoted
Physician / Oncology / California / Permanent / Associate Medical Director - Oncology - 100% Remote

Physician / Oncology / California / Permanent / Associate Medical Director - Oncology - 100% Remote

eviCore healthcare • San Diego, CA, US
Remote
Part-time
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...Show more
Last updated: 30+ days ago • Promoted
Physician / Neurology / California / Permanent / Associate Medical Director - Neurology - 100% Remot

Physician / Neurology / California / Permanent / Associate Medical Director - Neurology - 100% Remot

eviCore healthcare • San Diego, CA, US
Part-time
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...Show more
Last updated: 30+ days ago • Promoted
Associate or Full Professor (HS Clin, Clin X) Medical Director of Pediatric Heart Failure and Cardiac Transplantation

Associate or Full Professor (HS Clin, Clin X) Medical Director of Pediatric Heart Failure and Cardiac Transplantation

UC San Diego • San Diego, CA, United States
Full-time
Medical Director of Pediatric Heart Failure and Cardiac Transplantation .The posted UC Salary scales set the minimum pay at the appointment as determined by appointment type and, if applicable, r...Show more
Last updated: 30+ days ago • Promoted
State Licensed Medical Director

State Licensed Medical Director

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Medical Director / Physician Reviewer.Key Responsibilities Review hospital medical records for DRG Clinical Validation and other review activities Develop and update cli...Show more
Last updated: 30+ days ago • Promoted
Associate Medical Director, Metabolic Health

Associate Medical Director, Metabolic Health

VirtualVocations • El Cajon, California, United States
Full-time
A company is looking for an Associate Medical Director, Metabolic Health.Key Responsibilities Provide medical leadership for the metabolic health prescribing program and supervise advanced practi...Show more
Last updated: 1 day ago • Promoted
Medical Director Physician - Competitive Salary (San Diego)

Medical Director Physician - Competitive Salary (San Diego)

DocCafe • San Diego, CA, US
Part-time
DocCafe has an immediate opening for the following position : Physician - Medical Director in San Diego, California.DocCafe is the premier physician and advanced practice job board to help you advan...Show more
Last updated: 30+ days ago • Promoted
Medical Director - MN Licensed

Medical Director - MN Licensed

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Medical Director for Medical Claims Review, working remotely.Key Responsibilities Conduct coverage reviews based on individual member plan benefits and national policie...Show more
Last updated: 30+ days ago • Promoted
Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo

Physician / Other / California / Permanent / Associate Medical Director - Maternal Fetal - 100% Remo

eviCore healthcare • San Diego, CA, US
Part-time
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...Show more
Last updated: 30+ days ago • Promoted
Medical Director Physician - Competitive Salary

Medical Director Physician - Competitive Salary

DocCafe • San Diego, California, US
Full-time
DocCafe has an immediate opening for the following position : Physician - Medical Director in San Diego, California.DocCafe is the premier physician and advanced practice job board to help you advan...Show more
Last updated: 30+ days ago • Promoted
US Licensed Associate Medical Director

US Licensed Associate Medical Director

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for an Associate Medical Director to drive medical strategy and oversight across its clinical trial portfolio. Key Responsibilities Provide medical monitoring and safety overs...Show more
Last updated: 2 days ago • Promoted
Medical Director Physician

Medical Director Physician

Traditions Behavioral Health • San Diego, CA, USA
Full-time
Medical Director Physician at Traditions Behavioral Health summary : .The Medical Director Physician oversees the Emergency Psychiatric Unit and Crisis Rehabilitation Unit at San Diego County Psychia...Show more
Last updated: 30+ days ago • Promoted
MD Appeals Medical Director

MD Appeals Medical Director

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for an Appeals M.Member Appeals to perform clinical reviews and adjudications of appeals and grievances cases. Key Responsibilities Conduct individual case reviews for appeals...Show more
Last updated: 2 days ago • Promoted
Associate Director Medical Affairs

Associate Director Medical Affairs

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for an Associate Director Medical Affairs.Key Responsibilities Lead strategic planning and operational activities across the CCC and SEC teams Provide meeting management sup...Show more
Last updated: 2 days ago • Promoted
Physician / Gastroenterology / California / Permanent / Associate Medical Director - Gastro - 100% R

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

eviCore healthcare • San Diego, CA, United States
Part-time
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...Show more
Last updated: 30+ days ago • Promoted
Internal Medicine

Internal Medicine

UHC Solutions • San Marcos, California, US
Full-time
Internal Medicine physician employment in California : .Primary Care Physicians (MD / DO).Community Health Centers (FQHCs). Join a fully-integrated non-profit community health center located in San Mar...Show more
Last updated: 30+ days ago • Promoted
Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% Rem

Physician / Cardiology / California / Permanent / Associate Medical Director - Cardiology - 100% Rem

eviCore healthcare • San Diego, CA, US
Part-time
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...Show more
Last updated: 30+ days ago • Promoted
Florida Licensed Medical Director

Florida Licensed Medical Director

VirtualVocations • Escondido, California, United States
Full-time
A company is looking for a Medical Director - Licensed and Residency in Florida - Remote.Key Responsibilities Conduct coverage reviews and render coverage determinations based on member plan bene...Show more
Last updated: 30+ days ago • Promoted
Family Medicine Physician (Encinitas)

Family Medicine Physician (Encinitas)

NORTH COAST FAMILY MEDICAL GROUP, INC • Encinitas, CA, US
Full-time +1
NORTH COAST FAMILY MEDICAL GROUP, INC is a physician-owned, private practice in Encinitas, California, a suburban beach city in North San Diego County. Our company is dedicated to providing high-qua...Show more
Last updated: 17 days ago • Promoted
Physician / Surgery - Orthopedics / California / Permanent / Associate Medical Director - Orthopedic

Physician / Surgery - Orthopedics / California / Permanent / Associate Medical Director - Orthopedic

eviCore healthcare • San Diego, CA, US
Part-time
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...Show more
Last updated: 30+ days ago • Promoted