Physician / Cardiology / Pennsylvania / Permanent / Associate Medical Director - Cardiology - 1[...]

eviCore healthcare; Philadelphia (Philadelphia County); Hybrid; USD 150,000 - 200,000; Full time

Job summary

An established industry player is seeking a dedicated M.D. or D.O. with expertise in Cardiology to join their team. This role involves conducting medical reviews and engaging in peer discussions to ensure the highest standards of patient care. The organization values work-life balance, offering flexible scheduling and remote work opportunities. With a supportive culture and commitment to employee growth, this position promises a fulfilling career path in a collaborative environment. Join a team that is making a positive impact on healthcare while enjoying generous benefits and a predictable work schedule.

Benefits

Flexible Scheduling

4 Weeks PTO

Paid Holidays

Education Assistance

Health Benefits

401k with Company Match

Paid Volunteer Days

Professional Certifications

Life Benefits

Remote Work Opportunities

Qualifications

• Must have a minimum of 5 years clinical experience beyond residency.
• Recent practice experience in direct patient care within the past 18 months.

Responsibilities

• Provide expert medical review for requests evaluating medical necessity.
• Participate in strategic planning for Care Management.

Skills

Clinical Experience

Medical Review

Peer-to-Peer Discussions

Knowledge of State and Federal Laws

Familiarity with Automated Processes

Education

M.D. or D.O.

Board Certified in Cardiology

Tools

Computer Applications and Systems

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 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