Medical Director Neurolgy Expert

2 weeks ago


Indianapolis, Indiana, United States eviCore healthcare Full time

About eviCore healthcare

We are a leading healthcare organization dedicated to making a positive impact on the lives of our patients and employees. Our commitment to excellence is reflected in our predictable work schedule, flexible remote work opportunities, and supportive company culture.

Salary: $250,000 - $300,000 per year

Job 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.
  • Handles appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies.
  • 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.

Requirements:

  • M.D. or D.O. degree with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS).
  • Recent practice experience in direct patient care (within the past 18 months).
  • A minimum of 5 years clinical experience, beyond residency/fellowship.
  • Knowledge of applicable state and federal laws, URAC and NCQA standards a plus.

Benefits:

  • Flexible scheduling and work/life balance with remote work opportunities.
  • 4 weeks of PTO 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.

About this opportunity:

This is a salaried position with full-time and part-time opportunities available. We offer a supportive organization with a collaborative culture and a commitment to hiring and retaining a diverse workforce. Applicants must be able to pass a drug test and background investigation.



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