Medical Director - Allergy & Immunology- EviCore

About the position

As an Allergy & Immunology Medical Director at eviCore, part of Evernorth Health Services, you will leverage your clinical expertise to conduct evidence-based medical reviews for patient care. This role involves collaboration with healthcare providers, staying updated on healthcare regulations, and reviewing a variety of medical cases. You will have the opportunity to enhance your skills while contributing to the health and well-being of patients.

Responsibilities

• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
• Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
• Leverage your clinical expertise to recommend alternative services or treatments as necessary.
• Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

Requirements

• M.D. or D.O. with a current, active, U.S. state medical license and board certified in Allergy & Immunology.
• 5 years of relevant clinical experience post residency/fellowship.
• Knowledge of applicable state federal laws.
• Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems.
• Ability to commit to a set, weekly work schedule (Monday through Friday).
• Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of the time.

Nice-to-haves

• Utilization Review Accreditation Commission and National Committee for Quality Assurance standards knowledge is a plus.
• Eligible to acquire additional state licensure as required.

Benefits

• Benefits start on day one
• Predictable work schedules
• 100% work from home
• 8 Paid Holidays + 23 PTO Days
• 401(K) with company match
• Reimbursement for continuing medical education
• Career growth opportunities across the enterprise
• Networking with peers across multiple medical specialties