Medical Director of Neurology Services
7 days ago
About the Role
We are seeking a Medical Director of Neurology Services to join our team at eviCore healthcare. This is a salaried position with benefits, offering a predictable work schedule and opportunities for growth and advancement.
Job Summary
The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neurology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). They will have a minimum of 5 years clinical experience, beyond residency/fellowship, and knowledge of applicable state and federal laws, URAC and NCQA standards. Familiarity with automated processes and computer applications and systems is required.
Key Responsibilities
- Provide 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.
- Evaluate appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies.
- Engage in timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
- Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certification.
- Participate in strategic planning for and evaluation of the Care Management program.
Requirements
- M.D. or D.O. degree.
- Current, active, U.S. state medical license.
- 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).
- Minimum of 5 years clinical experience, beyond residency/fellowship.
- Knowledge of applicable state and federal laws, URAC and NCQA standards.
Benefits
- Salaried position with benefits.
- Predictable work schedule.
- Opportunities for growth, advancement, and promotion.
- 401k retirement plan with company match of 50% employee contributions up to 6%.
- Flexible scheduling and work-life balance with remote and work-from-home opportunities.
- Four weeks of paid time off (PTO) per year plus paid holidays.
About eviCore Healthcare
eviCore healthcare is committed to making a positive impact on healthcare and making a positive impact on our employees. We offer a supportive organization with a collaborative culture, and we are dedicated to hiring and retaining a diverse workforce.
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