Physician / Other / Arizona / Permanent / Associate Medical Director

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.

Requirements

• The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Maternal - Fetal Medicine, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
• Must have a minimum of 5 years clinical experience, beyond residency/fellowship.
• Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required.

Schedule

• No nights, no weekends, not call.
• Predictable work schedule.
• Full and part time opportunities.

Benefits

• Salaried position with benefits.
• Supportive organization with collaborative culture.
• Flexible scheduling and work/life balance with remote and work from home opportunities.
• 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%.

Applicants must be able to pass a drug test and background investigation.