Physician / Gastroenterology / Indiana / Permanent / Associate Medical Director - Gastro - 100%[...]

eviCore healthcare; Indianapolis (IN); Remote; USD 150,000 - 200,000; Full time

Job summary

A healthcare organization is seeking an Associate Medical Director in Gastroenterology. This fully remote role requires board certification and at least 5 years of clinical experience. Responsibilities include providing medical reviews and peer discussions with referring physicians. The position comes with a predictable schedule, generous benefits including 4 weeks PTO, and no night or weekend shifts.

Benefits

Flexible scheduling

401k with company match

4 weeks of PTO

Qualifications

• Must be board certified in Gastroenterology recognized by ABMS.
• Requires recent practice experience in direct patient care within the last 18 months.
• Familiarity with automated processes and computer applications is necessary.

Responsibilities

• Provides expert medical review for service necessity evaluations.
• Reviews appeals for denied services according to policies.
• Engages in peer discussions with referring physicians.

Skills

Board certification in Gastroenterology

5+ years clinical experience

Knowledge of state and federal laws

Education

M.D. or D.O. with active medical license

Job description

Overview

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

Responsibilities

• 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

Qualifications

• The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Gastroenterology, 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 is a plus, and familiarity with automated processes and computer applications and systems is required.

Work Schedule & Benefits

• No nights, no weekends, not call.
• Predictable work schedule.
• Full and part time opportunities.
• Salaried position with benefits.
• Supportive organization with collaborative culture.

Perks & Diversity Commitment

• 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.
• Opportunities for growth, advancement, and promotion.
• 401k retirement plan with company match of 50% on employee contributions up to 6%.

Equal Opportunity

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.