Skip to main content
Back to Jobs

Physician / Gastroenterology / Nationwide / Permanent / Associate Medical Director - Gastro - 100% Remote

  • Salary not listed
  • Posted last week

Hiring in some regions only

Review medical necessity appeals and provide peer-to-peer discussions with physicians

Provides timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria. Reviews appeals for denied services related to current relevant medical experience or knowledge in accordance with appeal policies. Provides timely peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcome decisions. Maintains necessary credentials and...

Why This Role?

Participate in strategic planning for and evaluation of the Care Management

Key Responsibilities

  • Review medical necessity appeals for services not meeting utilization review criteria
  • Conduct peer-to-peer discussions with referring physicians to clarify clinical information
  • Explain review outcome decisions to referring physicians during discussions
  • Maintain current medical credentials and report adverse actions to eviCore
  • Participate in strategic planning and evaluation of Care Management initiatives

Requirements

  • Current medical license in good standing
  • Board certification in Gastroenterology
  • Relevant medical experience or knowledge for appeal reviews
  • Ability to conduct peer-to-peer discussions with physicians
  • Knowledge of utilization review and appeal policies

Required Skills

medical reviewcommunicationstrategic planninghealthcare managementclinical communicationutilization reviewappeals processingpeer-to-peer consultation
View original listingShow more

Original description from the original listing

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.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

Salary Context

Similar Operations roles on LokerDollar pay around $175k/yr (range $1.9k–1000k/yr, n=304 active listings).

Hiring at eviCore healthcare

eviCore healthcare has 109 other active roles on LokerDollar and has been hiring here since Aug 25, 2026 — across Operations.

View all eviCore healthcare openings →

Market context

  • ESTIMATEEstimated pay is 14% above the role median of $175,000/year (n=304 pay-disclosing listings).
  • VERIFIEDeviCore healthcare: 357 postings in the last 3 months, 357 all-time on LokerDollar.
  • VERIFIEDCompany first seen Aug 25, 2026.
  • VERIFIEDThis listing first seen Oct 13, 2026.
  • VERIFIEDLast verified live Oct 27, 2026.

This listing comes from one of our partners, with the company profile and full details on this page. The one thing we can't auto-confirm is whether this specific apply link opens cleanly — it usually does, so go ahead and try it. Check back later if it doesn't load.

Estimated salary
$175k–222.5k/yr
Based on similar roles — not stated by the employer
Job Type
full time
Location
Remote · United States
Category
Seniority
senior
PostedFreshVerified
Oct 13, 2026

Share this job

Help a friend find their next remote role.

Hiring? Find talent free

Frequently asked questions

Is Physician / Gastroenterology / Nationwide / Permanent / Associate Medical Director - Gastro - 100% Remote at eviCore healthcare a remote job?
Yes, Physician / Gastroenterology / Nationwide / Permanent / Associate Medical Director - Gastro - 100% Remote at eviCore healthcare is remote, but limited to candidates in United States. Check the listing for location requirements.
What type of employment is Physician / Gastroenterology / Nationwide / Permanent / Associate Medical Director - Gastro - 100% Remote at eviCore healthcare?
This is a full time position.
How do I apply?
Click the "Apply" button on this page to go to the official application at eviCore healthcare.

More remote jobs in the United States

Browse all US jobs →

Explore related

Market data & reports

Salary & skill-demand research built from our own listings data.

From the blog

This employer appears to hire only in certain regions.