Physician / Oncology / Texas / Permanent / Associate Medical Director - Oncology - 100% Remote [...]

eviCore healthcare; San Antonio (TX); Remote; USD 200,000 - 300,000; Full time

Job summary

A healthcare technology company is seeking an Associate Medical Director in Oncology for a 100% remote position. Responsibilities include conducting medical reviews and maintaining clinical standards. Ideal candidates should be board-certified in Oncology with at least 5 years of clinical experience. This role offers flexible scheduling, health benefits, and a collaborative work environment.

Benefits

Flexible scheduling

PTO and paid holidays

Education assistance

Health, dental, vision insurance

401(k) retirement plan with company match

Qualifications

• Must have recent practice experience in direct patient care within the past 18 months.
• Minimum of 5 years of clinical experience beyond residency/fellowship.

Responsibilities

• Provide expert medical review for utilization review exceptions.
• Conduct peer-to-peer discussions with referring physicians.
• Maintain medical licenses and credentials.

Skills

MD or DO with active medical license

Clinical experience in Oncology

Knowledge of state and federal laws

Familiarity with automated systems

Education

ABMS-board certification in Oncology

Job description

Overview

Physician / Oncology / Texas / Permanent / Associate Medical Director - Oncology - 100% Remote Job

This role 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. It also reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies, if delegated, and conducts timely peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcomes.

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 program.

Responsibilities

• Provide timely expert medical review for utilization review exceptions.
• Review appeals for denied services related to current medical experience or knowledge as delegated.
• Conduct peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcome decisions.
• Maintain credentials and report adverse actions related to medical licenses and/or board certifications.
• Participate in strategic planning and evaluation of Care Management.

Qualifications

• MD or DO with a current, active U.S. state medical license and ABMS-board certification in Oncology.
• Recent practice experience in direct patient care (within the past 18 months).
• Minimum of 5 years of clinical experience beyond residency/fellowship.
• Knowledge of applicable state and federal laws; URAC and NCQA standards are a plus.
• Familiarity with automated processes and computer applications/systems.

Work Schedule & Benefits

• No nights, no weekends, no on-call requirements. Predictable work schedule.
• Full- and part-time opportunities; salaried position with benefits.
• Supportive organization with a collaborative culture; remote work options.

Perks & Benefits

• Flexible scheduling and work/life balance with remote opportunities.
• PTO and paid holidays; CME; education assistance and tuition reimbursement.
• Health, dental, vision, and life benefits with employer-funded HSA.
• Volunteer community service days; growth and promotion opportunities.
• 401(k) retirement plan with company match of 50% up to 6% of employee contributions.

Equal Opportunity & Compliance

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.

Note

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