Medical Director – Physical Medicine & Rehabilitation
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Job Description
Medical Director conducting evidence-based medical necessity reviews for EviCore, part of Evernorth’s healthcare solutions business. Performing peer-to-peer consultations and recommending appropriate treatments remotely.
Responsibilities:
- 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
- Discuss evidence-based medical necessity and appropriateness of requested services or treatments
- Recommend alternative services or treatments as necessary
- Collaborate with over 500 EviCore physician colleagues to support evidence-based decision-making and proper patient care
- Complete structured remote training with support from trainers, mentors, and leadership
- Stay current on healthcare regulations and industry developments
Requirements:
- M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Physical Medicine and Rehabilitation
- Clinical interventional pain experience required
- Eligible to acquire additional state licensure as required
- 3 or more 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
- Company-provided encrypted workstation required to be hard-wire connected to a modem or router; wireless connection is not permitted
- Cable broadband or fiber optic internet service 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
- Medical, vision, dental, and well-being and behavioral health programs
- Company paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Annual bonus plan eligibility
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