See all roles

Physician / Cardiology / Texas / Permanent / Associate Medical Director - Cardiology - 100% Remote Job Job - Now Hiring

Work from home Full-time role Hiring

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 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 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 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 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 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 Apply tot his job Apply To this Job

You might like

Healthcare Scheduling, Connection Advisor Associate (Remote), Bilingual Spanish

Work from home Full-time role

Member Care Advocate Team Lead (remote) 2023-1272 Strong Internal

Work from home Full-time role

Entry-Level Customer Service Representative for Toyota Online Chat Support Team – No Experience Necessary, Remote Work Opportunity

Work from home Full-time role

Experienced Remote Virtual Assistant for Toyota - Dynamic Team Support and Administrative Expertise Required

Work from home Full-time role

Experienced Customer Assistance Specialist – Collections and Account Maintenance for Toyota Financial Services

Work from home Full-time role

Guest Experience & Retention

Work from home Full-time role

Incentive Planning Senior Analyst - Toyota Division New Vehicle Incentive Strategy Development

Work from home Full-time role

Employee/Team Member Relations Administrator

Work from home Full-time role

Field Service Network Administrator – Toyota Material Handling North America

Work from home Full-time role

Director, Federal Government Affairs – Trade Policy and Legislative Advocacy Expert

Work from home Full-time role

HIM Specialist

Work from home Full-time role

Experienced Remote Data Entry and Business Counseling Professional – Driving Income Uprightness and Gamble Change Initiatives at blithequark

Work from home Full-time role

Proofreader (Expert in Child Psychology, Parenting, Education, or Health)

Work from home Full-time role

Texas Workers' Compensation / Non-Subscriber Adjuster

Work from home Full-time role

Experienced Remote Data Entry Specialist – Full-Time Opportunity for Detail-Oriented Professionals in Logistics and Transportation Industry at arenaflex

Work from home Full-time role

[Remote] IT Security Analyst - Microsoft Purview (REMOTE)

Work from home Full-time role

Part‑Time Remote Customer Service Representative – Health & Wellness Support Specialist at arenaflex (Work‑From‑Home)

Work from home Full-time role

Senior Cyber Forensic Investigator, Hybrid

Work from home Full-time role

Remote Tax Professional

Work from home Full-time role

Apply Now -Delta Airlines Remote Jobs Customer Service Agent (Remote)

Work from home Full-time role