Physician / Oncology - Radiation / Tennessee / Permanent / Associate Medical Director - Radiation Oncology - 100% Remote Job Job - Nashville, TN, United States - eviCore healthcare

Description

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.

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
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).

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
No nights, no weekends, not call.
Full and part time opportunities

eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees.

Flexible scheduling and work/life balance with remote and work from home opportunities
4 weeks of PTO(starting) per year plus paid holidays
Education assistance, tuition reimbursement and professional certifications
Health, dental, vision, and life benefits with employer funded HSA
Paid Volunteer Community Service Days
401k retirement plan with company match of 50% employee contributions up to 6%

We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class.