Physician / Maternal Fetal Medicine / Nationwide / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote
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Hiring in some regions only
Provide expert medical review for utilization appeals nationwide
Provides timely expert medical review for requests to evaluate medical necessity of services that do not meet utilization review criteria. Reviews appeals for denied services related to current medical experience or knowledge in accordance with appeal policies. Conducts peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcome decisions. Maintains necessary credentials and immediately informs...
Why This Role?
Participate in strategic planning for and evaluation of the Care Management
Key Responsibilities
- Provide expert medical review for utilization appeals
- Review appeals for denied services based on medical necessity
- Conduct peer-to-peer discussions with referring physicians
- Maintain medical credentials and report adverse actions
- Participate in strategic planning for Care Management evaluation
Requirements
- Current medical experience or knowledge
- Necessary medical credentials and board certifications
- Ability to conduct peer-to-peer discussions
- Knowledge of appeal policies and utilization review criteria
- Commitment to report adverse actions on licenses/certifications
Required Skills
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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 $178.2k/yr (range $1.9k–1000k/yr, n=287 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.
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Market context
- ESTIMATEEstimated pay is 9% above the role median of $178,182/year (n=287 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.
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Frequently asked questions
- Is Physician / Maternal Fetal Medicine / Nationwide / Permanent / Associate Medical Director - Maternal Fetal - 100% Remote at eviCore healthcare a remote job?
- Yes, Physician / Maternal Fetal Medicine / Nationwide / Permanent / Associate Medical Director - Maternal Fetal - 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 / Maternal Fetal Medicine / Nationwide / Permanent / Associate Medical Director - Maternal Fetal - 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.
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This employer appears to hire only in certain regions.