Medical Director – Medical Oncology – Evicore - Remote
Core
Deliver evidence-based medical reviews and conduct peer-to-peer physician consultations to determine medical necessity and appropriateness of treatments for patients.
Role type
Senior clinical decision-maker (Medical Oncology)
Builds
Evidence-based medical necessity determinations for patient care
Domain
Healthcare / Medical Oncology / Utilization Review
Deliverable
client delivery
Required skills
Clinical judgment, Evidence-based medicine knowledge, Physician consultation skills, Regulatory compliance knowledge, Medical Oncology expertise
Preferred skills
Utilization Review Accreditation Commission standards knowledge, National Committee for Quality Assurance standards knowledge
Technologies
Case management software, Encrypted workstation systems
Responsibilities
Review medical cases for evidence-based medical necessity, Conduct peer-to-peer calls with referring providers, Recommend alternative services or treatments, Collaborate with physician colleagues on care decisions
Seniority
Senior, hands-on IC