Medical Director

• Leverage your background in Pain Medicine disciplines to deliver evidence-based medical reviews that support high-quality patient care.
• Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
• Start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• 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.

Medical Director – Pain Medicine

• The Director of Clinical Services (DCS) is accountable for clinical and operational excellence within a defined book of business in an Envision Physician Services operating unit.
• This position drives improvements in patient care processes and outcomes by partnering with local practice medical leadership and front-line clinicians.
• Within a defined book of business, the DCS balances the needs and opportunities of a client with internal EMG relationships throughout their portfolio.
• The DCS identifies areas of opportunity within their book of business and works collaboratively with operating unit leadership team to provide partnership to medical directors and clients towards performance enhancement and goal achievement.
• The DCS drives implementation of clinical quality, service line clinical operations, corporate initiatives.

Director of Clinical Services

• Develop and manage the Clinical Policy, Regulatory, and Compliance functions within the Office of Clinical Affairs.
• Ensure clinical operations meet healthcare laws and standards.
• Develop and maintain regulatory policies.
• Manage compliance risks and guide policy-related submissions.
• Advise senior leadership and work closely with teams across the organization.

Medical Director, Clinical Regulatory Affairs

• You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• 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.

Medical Director – Medical Genetics, Genomics

• Responsible for the implementation of market-level clinical care standards and practice guidelines ensuring compliance with nationally accepted quality standards
• Support staff by providing training, clinical consultation, and clinical case review for members
• Participate in Interdisciplinary Care Team meetings, Inpatient Census Rounds and other clinical meetings
• Support market provider network development and maintenance
• Provides leadership to direct reports to achieve market goals
• Participate in peer-to-peer discussions
• Conduct quality of care reviews

Market Chief Medical Director, Michigan Licensure

• Responsible for the implementation of market-level clinical care standards and practice guidelines
• Support staff by providing training, clinical consultation, and clinical case review
• Participate in Interdisciplinary Care Team meetings, Inpatient Census Rounds and other clinical meetings
• Support market provider network development and maintenance
• Provide leadership to direct reports to achieve market goals
• Participation in market level quality initiatives and community collaboratives
• Conduct quality of care reviews and support regulatory and accreditation functions

See all jobs on JobTailor

Medical Director – Pain Medicine

Director of Clinical Services

Medical Director, Clinical Regulatory Affairs

Medical Director – Medical Genetics, Genomics

Market Chief Medical Director, Michigan Licensure

Market Chief Medical Director, Michigan