MelbourneFLRecruiter Since 2001
the smart solution for Melbourne jobs

Associate Medical Director - Family Medicine -Work from home - eviCore

Company: eviCore Healthcare
Location: Melbourne
Posted on: April 3, 2021

Job Description:

Family Practice-Without OB opening in Melbourne, Florida. This and other physician jobs brought to you by DocCafe.com Thinking about joining eviCore as an Associate Medical Director? --Working at eviCore allows you to make a difference in people's lives by improving the quality of their healthcare. As an Associate Medical Director, you will feel intellectually stimulated and challenged, and you will be empowered by the difference you are making on a more global level in healthcare.Additional advantages of working at eviCore as an Associate Medical Director include:- Predictable work schedules: No nights, no weekends, no call- 100% Remote with full and part-time opportunities- Salaried position with benefits- The ability to impact healthcare on a larger scale--- Supportive organization with collaborative culture: Hands-on training provided in our Melbourne, FL office (currently training is being conducted remotely)Responsibilities:- 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.- Documents all actions related to clinical review sessions and attests to appeal review qualifications as required.- 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 process/unit. --Minimum 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 Family Medicine, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA)- 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--This position is not eligible to be performed in Colorado.About CignaCigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. We offer an integrated suite of health services through Cigna, Express Scripts, and our affiliates including medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products. Together, with our 74,000 employees worldwide, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation.When you work with Cigna, you'll enjoy meaningful career experiences that enrich people's lives while working together to make the world a healthier place. What difference will you make?-- To see our culture in action, search #TeamCigna on Instagram.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response. Keyphrases: family medicine jobs, family practice jobs, family practitioner jobs, family medicine specialist jobs

Keywords: eviCore Healthcare, Melbourne , Associate Medical Director - Family Medicine -Work from home - eviCore, Executive , Melbourne, Florida

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Executive Jobs


Assistant Salon Manager - Town Center at Timber Springs
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Montverde
Posted on: 04/12/2021

Shift Manager
Description: Description br br Working at Pizza Hut-- is about making hungry people happy. It's about being independent and having fun, making new friends and earning extra cash. If you're ready to take the next (more...)
Company: Pizza Hut
Location: Windermere
Posted on: 04/12/2021

Assistant Salon Manager - Market at Trailwinds
Description: Assistant Salon Manager Got shears and a winning attitude Have a yearning to earn and a desire to support other stylists Then let--s talk Maybe you--re a stylist who wants more
Company: Great Clips
Location: Okahumpka
Posted on: 04/12/2021


Licensed Medicare Insurance Agent - State of the Art Lead Management Platform
Description: Considered the gold rush of insurance, Assurance, a Prudential company, is actively looking for independent health insurance agents WITH AHIP certification Residential Insurance License required to (more...)
Company: ASSURANCE Independent Agents
Location: Orlando
Posted on: 04/12/2021

Vice President of Search Services
Description: Jackson Healthcare's mission is to improve the delivery of patient care and the lives of everyone we touch. Posted Date 2 days ago 3/23/2021 1:03 PM Job ID 2021-4659 Company Kirby Bates Category Sales (more...)
Company: Regional Recreation Corporation of Wood Buffalo
Location: Orlando
Posted on: 04/12/2021

Business Development Manager - Southeast
Description: Business Development Manager - Southeast br br The COMPANY is on a mission is to provide highly efficient aeration and oxidation solutions to our customers that enhance production and treatment while (more...)
Company: Hunter Crown, LLC
Location: Orlando
Posted on: 04/12/2021

Inspection Tech Manager
Description: Momentum Solar is a premier residential solar provider with offices throughout the U.S. Founded in 2009, Momentum has grown exponentially over the past decade. We implement the entire solar process to (more...)
Company: Momentum Solar
Location: Orlando
Posted on: 04/12/2021

Business Development Director
Description: Business Development Director -The Business Development Director BDD is responsible for the sale of Professional Services. The BDD will be responsible for building market position through the following (more...)
Company: TekPartners
Location: Orlando
Posted on: 04/12/2021

Regional Operations Director
Description: Description: br Join the growing Operations Team at Kuubix Energy as a Regional Solar Operations Manager Kuubix Energy is the fastest growing leader in the Residential Solar Installation industry, (more...)
Company: Kuubix Energy Inc
Location: Orlando
Posted on: 04/12/2021

Software Manager
Description: I am currently hiring for a Software Manager for a large company in the Chicago area. If you are on the market and looking for a new opportunity, find some initial details below and apply for more information (more...)
Company: Aerotek
Location: Orlando
Posted on: 04/12/2021

Log In or Create An Account

Get the latest Florida jobs by following @recnetFL on Twitter!

Melbourne RSS job feeds