Physician / Oncology - Radiation / Arizona / Permanent / Associate
PostJobFree · Phoenix, AZ · 1 mo ago
HealthcareFull-time
About the role
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
Responsibilities
- 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 Management program.
Qualifications
- M.D. or D.O. with a current, active, U.S. state medical license.
- Board certified in Oncology Radiation, recognized by the American Board of Medical Specialties (ABMS).
- Recent practice experience in direct patient care (within the past 18 months).
- Minimum of 5 years clinical experience, beyond residency/fellowship.
- Familiarity with automated processes and computer applications and systems is required.
- Knowledge of applicable state and federal laws, URAC and NCQA standards a plus.
Schedule
- No nights, no weekends, no call.
- Predictable work schedule.
- Full and part time opportunities.
- Flexible scheduling and work/life balance with remote and work from home opportunities.
Pay
Salaried position with benefits.
Benefits
- 4 weeks of PTO (starting) per year plus paid holidays.
- One week of CME.
- Education assistance, tuition reimbursement and professional certifications.
- Health, dental, vision, and life benefits with employer funded HSA.
- Paid Volunteer Community Service Days.
- Ample opportunities for growth, advancement, and promotion.
- 401k retirement plan with company match of 50% employee contributions up to 6%.
Additional information
Supportive organization with collaborative culture. Applicants must be able to pass a drug test and background investigation. Permanent position.