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Field Medical Director, Pain Management

Medical DirectorMedical DirectorOtherRemoteLeadTeam 1,001-5,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

104 days ago

Salary

$105 - $110 / hour

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

Field Medical Director, Pain Management

Evolent

• Serve as the Physician Clinical Reviewer for Interventional Pain Management, reviewing cases that do not initially meet the applicable medical necessity guidelines • Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process • Provides clinical rationale for standard and expedited appeals • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner • Participates in on-going training per inter-rater reliability process • May function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management

Job Requirements

  • MD/DO/MBBS- Required
  • Minimum of five (5) years’ experience in the practice of Pain Medicine, post-residency- Preferred
  • Current, unrestricted clinical license in medicine or required specialty- Required
  • Active Board Certification in Pain Management or Active Board Certification in another specialty and clinical experience in Interventional Pain Management- Required
  • Strong clinical, management, communication, and organizational skills- Required
  • Energetic and curious with a passion for quality and value in health care- Required
  • Computer Proficiency- Required

Benefits

  • Comprehensive benefits (including health insurance benefits)

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