Start training remotely in a structured environment with support from trainers, mentors, and leadership
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
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
Board certified in Infectious Disease, recognized by the American Board of Medical Specialties, or American Osteopathic Association
Eligible to acquire additional state licensure as required
3 or more years of relevant clinical experience post residency/fellowship required
Knowledge of applicable state federal laws
Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
Ability to commit to a set, weekly work schedule (Monday through Friday)
Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems
Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time
Company provided encrypted-workstation is required to be hard-wire connected to a modem or router
Wireless connection is not permitted
Internet connection must be cable broadband or fiber optic with speeds of at least 10Mbps download/5Mbps upload
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
Comprehensive range of health-related benefits including medical, vision, dental, and well-being and behavioral health programs
Company paid life insurance
Tuition reimbursement
Minimum of 18 days of paid time off per year and paid holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
evidence-based medical case reviewsclinical experiencemedical necessitypeer-to-peer consultationalternative service recommendationsknowledge of state federal lawsUtilization Review Accreditation Commission standardsNational Committee for Quality Assurance standards