the smart solution for Melbourne jobs

Associate Medical Director - Medical Oncology (100% Remote)

Company: eviCore Healthcare
Location: Melbourne
Posted on: April 14, 2019

Job Description:

Oncology-Medical Oncology opening in Melbourne, Florida. This and other physician jobs brought to you by Associate Medical Director InformationMinimum 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 a clinical specialty recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months).
  • Have at least 5 years of clinical experience (post 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 requiredResponsibilities:
    • 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 files of all reviews as required by law and Health Plans to retrieve reportable data.
    • Maintains necessary credentials and immediately informs eviCore of any adverse actions relating to medical licenses and/or board certifications.
    • Supports the annual review of utilization review criteria.
    • Supports and communicates eviCore policy and procedures to the provider community.
    • Participates in strategic planning for and evaluation of the Care Management process/unit.
    • Assists with staff educational training and in-service programs and serves as a clinical resource for eviCore staff.
      eviCore is committed to hiring and retaining a diverse workforce. 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. Applicants must be able to pass a drug test and background investigation Keyphrases: oncology jobs, oncologist jobs

Keywords: eviCore Healthcare, Melbourne , Associate Medical Director - Medical Oncology (100% Remote), Executive , Melbourne, Florida

Click here to apply!

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

I'm looking for
in category

Other Executive Jobs

Retail Management Career Fair - Orlando, FL - April 22nd & 23rd, 2019
Description: Req ID: 120967 br br LOVE'S TRAVEL STOPS - RETAIL MANAGEMENT CAREER FAIR - April 22nd 23rd, 2019 br br Operations Managers, Tire Care General Managers, Restaurant General Managers, Restaurant (more...)
Company: Loves Travel Stops & Country Store
Location: Lakeland
Posted on: 04/21/2019

Assistant Vice President for Digital Marketing
Description: Embry-Riddle Aeronautical University, the world's leading aviation and aerospace university, seeks an innovative, results-oriented digital marketing professional with broad higher education experience (more...)
Company: Embry Riddle Aeronautical University
Location: Daytona Beach
Posted on: 04/21/2019

Current College Students - In-Store Management Executive Internship (Northern, MN)
Description: One of the world's leading and most recognized brands comes to life in our stores, where guests are still captivated by everything that made them fall in love with Target. Our approximately 1800 locations (more...)
Company: Target
Location: Orlando
Posted on: 04/21/2019

Case Manager Registered Nurse (Orlando,FL)
Description: Centra Healthcare Solutions is seeking an experienced Registered Nurse that is licensed or in the immediate process, and qualifies, of obtaining RN licensure in FL to work in Inpatient in the specialty (more...)
Company: Centra Healthcare Solutions
Location: Orlando
Posted on: 04/21/2019

Instructional Systems Manager with Security Clearance
Description: Description: The F-35 ALIS Infrastructure Training AIT Lead provides leadership to the AIT Team assigned to the F-35 Instructional Products IPT. Responsible for management and oversight of ALIS Training (more...)
Location: Orlando
Posted on: 04/21/2019

Sales Manager, In-Home Design - Melbourne
Description: Our Manager, In-Home Design Sales is the single point of contact for all In-Home Design consultations and projects. They will spend the greatest amount of their time at customers' homes or third party (more...)
Company: Best Buy
Location: Orlando
Posted on: 04/21/2019

Senior Manager - Clinical Experience - Orlando
Description: Job DescriptionSenior Manager - Clinical Experience - OrlandoAdventHealth Orlando seeks to hire a Senior Manager who will embrace our mission to extend the healing ministry of Christ.Facility Profile:Located (more...)
Company: Adventist Health System
Location: Orlando
Posted on: 04/21/2019

Case Management Nurse - Case Manager - Travel - (CM RN)
Description: Job Description Requirements br Case Management Nurse - Case Manager - CM RN br StartDate: 04/29/2019Available Shifts: 12 D Pay Rate: 1478.00 - 1630.00 br br This outstanding Case Manager (more...)
Company: American Mobile Healthcare
Location: Ocoee
Posted on: 04/21/2019

Software Enginnering Technical Manager / Orlando, FL with Security Clearance
Description: Description: The Software Engineer Technical Lead would be responsible for expanding existing software to meet the changing needs of our key demographics. Candidate would be responsible for leading a (more...)
Location: Orlando
Posted on: 04/21/2019

Director of Restaurants - Orlando World Center Marriott (190014SH)
Description: Heres To Your Journey with Marriott Hotels Resorts Suites Marriott International portfolio of brands includes both JW Marriott and Marriott Hotels. Marriott Hotels, Marriott Internationals flagship brand (more...)
Company: Marriott International, Inc.
Location: Orlando
Posted on: 04/21/2019

Log In or Create An Account

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

Melbourne RSS job feeds