9 дней назад
Medical Director – Otolaryngology – Evicore - Remote
207 800 - 346 300$
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Описание вакансии
Текст:
TL;DR
Medical Director – Otolaryngology – Evicore - Remote (evidence-based medical review): Completing time-sensitive medical necessity reviews and physician consultations for requested services and treatments with an accent on otolaryngology expertise, clinical judgment, and healthcare standards. Focus on evaluating complex cases, recommending alternative treatments, and applying evidence-based decision-making within EviCore’s case management software.
Location: United States Work at Home; 100% remote
Salary: USD 207,800–346,300 annually, plus eligibility for an annual bonus plan.
Company
Evernorth Health Services, a division of , develops pharmacy, care, and benefit solutions to improve health outcomes and make illness prevention and treatment more accessible.
What you will do
- Complete time-sensitive, evidence-based medical necessity reviews using EviCore’s case management software.
- Conduct peer-to-peer consultations with referring physicians about the medical necessity and appropriateness of requested services or treatments.
- Use otolaryngology expertise to recommend alternative services or treatments when appropriate.
- Collaborate with more than 500 EviCore physician colleagues to support evidence-based patient care decisions.
- Complete structured remote training with trainers, mentors, and leadership.
Requirements
- Current, active U.S. medical license and eligibility to acquire additional state licenses as required.
- M.D. or D.O. degree and ABMS or AOA board certification in Otolaryngology.
- At least three years of relevant clinical experience after residency or fellowship.
- Strong clinical judgment, communication, typing, technology, and computer skills.
- Availability for a fixed Monday–Friday weekly schedule.
- A company-provided encrypted workstation must be hard-wired to a modem or router; wireless connections are not permitted. Home internet must use cable broadband or fiber service with at least 10 Mbps download and 5 Mbps upload speeds.
Nice to have
- Knowledge of applicable state and federal laws and URAC and NCQA standards.
Culture & Benefits
- Benefits begin on the first day of employment.
- Predictable work schedules and permanent work-from-home arrangements.
- Eight paid holidays and at least 18 paid time-off days per year, with the role listing 23 PTO days.
- 401(k) with company match, company-paid life insurance, health benefits, and well-being programs.
- Continuing medical education reimbursement, tuition reimbursement, career growth opportunities, and networking across medical specialties.
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