Physician / Oncology / Pennsylvania / Permanent / Associate Medical Director - Oncology - 100% Remote Job Job
Provide expert medical review for oncology service appeals and peer discussions
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 oncology based on current medical experience. Conducts peer-to-peer discussions with referring physicians to clarify clinical information and explain review outcomes. Maintains required credentials and reports adverse actions to eviCore.
Why This Role?
No nights, no weekends, no call with predictable work schedule
Key Responsibilities
- Review medical necessity of oncology services that do not meet utilization review criteria
- Conduct appeals for denied oncology services based on current medical experience
- Engage in peer-to-peer discussions with referring physicians to clarify clinical information
- Explain review outcome decisions to referring physicians during peer discussions
- Maintain active medical license and board certification, reporting any adverse actions
- Participate in strategic planning and evaluation of Care Management programs
Requirements
- M.D. or D.O. degree
- Current active U.S. state medical license
- Board certified in Oncology by ABMS
- Recent direct patient care experience within the past 18 months
- Minimum 5 years clinical experience beyond residency/fellowship
- Familiarity with automated processes and computer applications
Required Skills
View Original Description from Jobg8 (United States)
Original description from Jobg8 (United States)
Philadelphia, Pennsylvania (United States) 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 The successful candidate will be an M.D. or D.O. with a current, active, U.S. state medical license and board certified in Oncology, recognized by the American Board of Medical Specialties (ABMS), with recent practice experience in direct patient care (within the past 18 months). Must have a minimum of 5 years clinical experience, beyond residency/fellowship Knowledge of applicable state and federal laws, URAC and NCQA standards a plus, and familiarity with automated processes and computer applications and systems is required No nights, no weekends, not call. Predictable work schedule Full and part time opportunities Salaried position with benefits Supportive organization with collaborative culture eviCore healthcare is committed to making a positive impact on healthcare, and also making a positive impact on our employees. eviCore offers a variety of perks and benefits including, but not limited to: Flexible scheduling and work/life balance with remote and work from home opportunities 4 weeks of PTO(starting) per year plus paid holidays One week of CME Education assistance, tuition reimbursement and professional certifications Health, dental, vision, and life benefits with employer funded HSA Paid Volunteer Community Service Days Ample opportunities for growth, advancement, and promotion 401k retirement plan with company match of 50% employee contributions up to 6% eviCore is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation
Salary Context
Similar Operations roles on LokerDollar pay around $190k/yr (range $12k–1000k/yr, n=196 active listings).
Hiring at eviCore healthcare
eviCore healthcare has 47 other active roles on LokerDollar and has been hiring here since Aug 25, 2026 — across Operations.
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Frequently asked questions
- Is Physician / Oncology / Pennsylvania / Permanent / Associate Medical Director - Oncology - 100% Remote Job Job at eviCore healthcare a remote job?
- Yes, this is a regional remote role (Remote). Check the listing for location requirements.
- What type of employment is Physician / Oncology / Pennsylvania / Permanent / Associate Medical Director - Oncology - 100% Remote Job Job 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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