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

eviCore healthcare; Houston (TX); Hybrid; USD 150,000 - 220,000; Full time

Job summary

An established industry player in healthcare is seeking a dedicated Gastroenterologist to join their team. This role involves conducting expert medical reviews and engaging in peer discussions to ensure the highest standards of care. With a focus on work-life balance, the organization offers flexible scheduling and remote opportunities. Enjoy a supportive culture with ample growth potential, generous PTO, and comprehensive health benefits. Join a team committed to making a positive impact in healthcare while advancing your career in a collaborative environment.

Benefits

Flexible scheduling

4 weeks PTO

Paid Volunteer Community Service Days

Education assistance

401k retirement plan with company match

Qualifications

• Must have a current, active U.S. state medical license.
• Minimum of 5 years clinical experience beyond residency/fellowship.

Responsibilities

• Conduct medical reviews for service necessity.
• Engage in peer-to-peer discussions with physicians.

Skills

Gastroenterology

Clinical Experience

Knowledge of URAC and NCQA standards

Computer Applications

Education

M.D. or D.O.

Board Certified in Gastroenterology

Tools

Automated Processes

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 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 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