1 час назад
Medical Director – Spine Surgery (Orthopedic or Neurosurgery) – Evicore - Remote
207 800 - 346 300$
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Описание вакансии
Текст:
TL;DR
Medical Director – Spine Surgery (Orthopedic or Neurosurgery) (Evidence-Based Medical Review): Conducting specialized medical necessity reviews and physician consultations for spine-related services with an accent on clinical judgment, evidence-based decision making, and healthcare compliance. Focus on evaluating complex cases, recommending alternative treatments, and collaborating with referring providers through EviCore’s case management software.
Location: United States Work at Home; 100% remote
Salary: $207,800–$346,300 annually, depending on experience and geographic location, plus potential annual bonus eligibility.
Company
Evernorth Health Services, a division of , develops pharmacy, care, and benefit solutions designed to improve health outcomes and access to treatment.
What you will do
- Complete time-sensitive, evidence-based medical necessity reviews using EviCore’s case management software.
- Conduct peer-to-peer consultation calls with referring physicians about treatment appropriateness and medical necessity.
- Use clinical expertise to recommend alternative services or treatments when appropriate.
- Collaborate with more than 500 EviCore physician colleagues across multiple specialties.
- Participate in structured remote training supported by trainers, mentors, and leadership.
Requirements
- Current, active U.S. medical license and eligibility to obtain additional state licenses as required.
- M.D. or D.O. with board certification from ABMS or AOA in Orthopaedic/Orthopedic Surgery or Neurological Surgery.
- At least three years of relevant clinical experience after residency or fellowship.
- Ability to work a set Monday–Friday schedule and perform typing, speaking, and listening duties throughout the workday.
- Strong computer skills and ability to work independently with automated processes, applications, and systems.
- Encrypted company workstation must be hard-wired to a modem or router; wireless connections are not permitted. Home internet must use cable broadband or fiber with at least 10 Mbps download and 5 Mbps upload speeds.
Nice to have
- Knowledge of applicable state and federal laws, URAC standards, and NCQA standards.
Culture & Benefits
- Benefits begin on the first day of employment.
- Predictable work schedules and 100% work-from-home arrangement.
- Eight paid holidays and at least 18 days of paid time off per year; the posting also states 23 PTO days.
- 401(k) with company match, company-paid life insurance, and health, vision, dental, well-being, and behavioral health benefits.
- Continuing medical education reimbursement, tuition reimbursement, career growth opportunities, and networking with physicians across specialties.
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