Medical Director for Maternal Care Management

5 days ago


Indianapolis, Indiana, United States eviCore healthcare Full time
About the Role

eviCore healthcare is seeking an experienced Medical Director to lead our Maternal Care Management team. This is a full-time salaried position with benefits, offering a predictable work schedule and opportunities for growth.

Key Responsibilities
  • Provide timely expert medical review for services not meeting utilization review criteria.
  • Evaluate appeals for denied services related to current relevant medical experience or knowledge.
  • Engage in peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcome decisions.
  • Maintain necessary credentials and inform eviCore of any adverse actions relating to medical licenses and/or board certification.
Requirements
  • MD or DO degree with a current, active U.S. state medical license.
  • Board certified in Maternal-Fetal Medicine, 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.
  • Familiarity with applicable state and federal laws, URAC and NCQA standards, and automated processes and computer applications.
Benefits
  • Predictable work schedule with no nights, weekends, or call.
  • Salaried position with benefits, including health, dental, vision, and life insurance.
  • 4 weeks of PTO per year plus paid holidays.
  • Education assistance, tuition reimbursement, and professional certifications.
  • Opportunities for growth, advancement, and promotion.
Estimated Salary Range

$150,000 - $200,000 per year, depending on experience.


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