Medical Director – Pathology

Posted 1ds ago

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Job Description

Medical Director at EviCore involved in providing evidence-based medical reviews and patient care in pathology. Collaborating with healthcare providers and conducting case reviews remotely.

Responsibilities:

  • As a Medical Director at EviCore, you’ll leverage your background in pathology to deliver evidence-based medical reviews that support high-quality patient care.
  • Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
  • Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software.
  • Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
  • Leverage your clinical expertise to recommend alternative services or treatments as necessary.
  • Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

Requirements:

  • M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in one or more of the following: Anatomic Pathology, Clinical Pathology, Cytopathology, Dermatopathology, Hematopathology, Molecular Genetic Pathology, or Neuropathology.
  • Eligible to acquire additional state licensure as required
  • Clinical experience required
  • 3 years of relevant clinical experience post residency/fellowship
  • Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
  • Ability to commit to a set, weekly work schedule (Monday through Friday)
  • Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems
  • Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
  • In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
  • If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Benefits:

  • Benefits start on day one
  • Predictable work schedules
  • 100% work from home
  • 8 Paid Holidays + 23 PTO Days
  • 401(K) with company match
  • Reimbursement for continuing medical education
  • Career growth opportunities across the enterprise
  • Networking with peers across multiple medical specialties