Why eviCore?

The eviCore team is committed to making a positive impact on healthcare. We have brought together experts from around the country to create a talented team of individuals who connect the dots between the patient, provider, and plan. We work together every day in an honest, flexible, empathetic, and collaborative environment to generate the change we seek for healthcare. We use the same factors in considering future team members. We are looking for candidates who emulate our core values (flexibility, collaboration, integrity, and empathy) and will integrate their intelligence and insights to prompt more focused action and improved results.

Mission– To help those we serve navigate the healthcare system, find the right care path, and enable the best outcomes.
Vision– To improve the healthcare system and people’s lives through innovative medical benefits solutions
Values– Integrity, Flexibility, Empathy, and Collaboration

  

Our Benefits, Your Advantage

In addition to conventional medical, dental, vision, and 401(k) benefits, eviCore provides many other options to enhance employees’ physical, mental, and professional health. We want our people to feel great while they are accomplishing great things.

  • Training

    We believe in investing in our employees. We are constantly thinking of ways we can help employees reach their personal and professional goals. We offer Professional Certification/Tuition Reimbursement and Microsoft E-Learning Classes.

  • Rewards

    Our employees work hard each and every day. Whether it is servicing a client or creatively finding new solutions to reduce wasteful medical spending and unnecessary procedures that cost Americans every day. Corporate recognition programs include employee of the month and year awards. We also celebrate anniversary milestones. We offer departmental and peer recognition programs in addition to employee appreciation days and holiday parties.

  • Philanthropy

    At eviCore we believe in getting involved in the communities where we work and live. Developing a sense of giving back is fundamental and part of our culture. We offer Volunteer Community Service Days for our employees, so they can take company-supported time out of their workweek to help causes in the community that mean the most to them.

  • Environment

    We are always searching for unique ways to promote a positive work/life balance. We offer company-paid holidays and Paid Time Off to help encourage relaxation. We offer healthy meal options for our employees with micro-markets on site and an on-site gym at a majority of our locations. eviCore has partnered with PerkSpot so we can offer you a comprehensive employee discount program to save on automobiles, vacations, entertainment and even your cup of joe at Starbucks! Don’t forget to wear your jeans to work! We offer a smart casual dress code as well. We sponsor corporate scholarships for employees’ children for The First Tee and Boys and Girls’ Club. Benefits go beyond medical and dental and streamline into your total employee experience.

  

Our teams: committed to connecting the dots

It takes a lot of moving parts to move the needle on the healthcare system. Here are some of the groups behind this effort to improve the greater good. See which one is for you, or find the right one for you.

Core
Integration and Value Improvement

The Value Improvement Department is charged with developing and improving the way we operate as an organization through the use of advanced analytics, Lean Six Sigma, and management of strategic business development initiatives.

The Integration Management Office (IMO) is charged with overseeing M&A integration efforts as well as targeted assistance with strategic planning and enterprise initiative delivery oversight.

Legal

The Legal Department handles matters such as corporate governance, contract drafting and negotiation, litigation, and regulatory affairs. The Legal Department also provides advice to management on risk and compliance with government rules as well as coordinates the Company’s government affairs activity.

Finance & Strategy

The Finance & Strategy Department is responsible for accounting and financial reporting, financial planning and analysis, customer pricing and underwriting, and strategic evaluation of M&A acquisition opportunities. The department tracks, reports, and forecasts the Company’s financial performance while also making determinations on how to grow the business organically through innovative pricing of client programs and inorganically via acquisitions of other businesses.

Human Resources (HR)

Creating a vibrant and dynamic culture with highly engaged employees is a top priority at eviCore. The People, Culture, Talent, and Rewards team members consult, design, and guide the people strategy to fulfill eviCore’s mission and vision.

Compliance

The Compliance Department ensures that eviCore is meeting its ongoing obligations to our clients, providers, and patients, meeting the vast array of legal and regulatory requirements to which we must adhere, and—most importantly—conducting ourselves according to the highest ethical standards. Compliance professionals partner with leaders of all of the various operational and administrative groups of the company to design programs, provide research and guidance, and solve and innovate compliance solutions.

Corporate Operations
Contact Center (clinical, non-clinical)

Responsible for managing the general patient experience through the life of a pre-authorization, primarily through patient and provider phone interactions. The patient experience through the non-clinical contact center process revolves around creation of pre-authorization cases, validating the status of cases, interfacing with clinical teams when clinical intervention is required and providing case determination by way of specialized notifications.

Network Operations

Network Operations is responsible for the development, management, and administration of high performing specialty provider networks. These networks provide access for our health plan partner’s members to high quality/cost competitive medical services.

Claims

The Claims Department handles all incoming healthcare claims ensuring a high level of customer service and maximizing productivity by processing claims accurately the first time. The department maintains the claims processing system, ensuring all member, provider, fee schedules, and contract information is loaded correctly to allow for accurate claims processing. The department is also responsible for all claim appeals, provider credentialing & accreditation, network imaging, quality programs, and internal department quality programs. The department’s team members put their skills and talents to work to review, research, and process medical claims. It's complex, detailed work. It's a fast-paced challenge. It's a job that calls on you to be thoughtful, resourceful, team-driven, and customer-focused.

Program Operations

The Program Operations Department synchronizes business requirements, decisions, solutions, and actions amongst all key stakeholders-internal and external-to the organization across the spectrum of services provided irrespective if the focus is solution-specific or is a corporate initiative that constitutes a multitude of interdependencies. The department also has overall ownership of new and existing business integration, program monitoring and performance, and efficiency and efficacy for program initiatives that impact profit and loss while maintaining regulatory compliance and satisfaction amongst all stakeholders.

Client Services

The Client Services team is responsible for ensuring that eviCore’s programs are meeting all client expectations including handing service issues reported by the client or provider, managing program changes, and communicating program performance and value.

Provider Engagement

Provider Engagement optimizes the provider experience with eviCore by implementing and executing a comprehensive strategy that ensures providers are adequately educated on the programs and procedures for making the utilization management process as seamless as possible and any inquiries are promptly addressed.

Workforce Management
Workforce Management (WFM) is responsible for ensuring staffing effectiveness in order to achieve client performance guarantees. WFM teams forecast call volumes, create respective staffing plans, and manage intraday schedule adherence of clinical and non-clinical phone-facing resources.
Clinical Contact Center

Clinical staff provide the expertise, passion, and promise to ensure that all eviCore decisions provide the right test at the right time and the right place for the best patient outcome. We are physicians, nurses, therapists, and specialists who are helping to better manage and optimize the best use of our healthcare resources.

Analytics

Analytics prove the value of eviCore’s programs to our clients and works with clinical leads to improve and expand our programs. We are expert data scientists, analysts, and methodologists focused on providing insight to our clients, our programs, and our industry.

Information Technology

​​IT provides the technology to support our customer needs from applications to manage cases to data management to facilitate our predictive intelligence and advanced analytics. IT supports the organization with infrastructure from the system on your desk to the advanced call center and telecom systems that facilitate our process. IT provides the engines to run our business.

Marketing & Sales
Marketing

eviCore’s Marketing is responsible for the client experience and awareness of eviCore’s solutions, capabilities, and products. It does so through concerted campaigns that may use traditional, digital, or social marketing methodologies to promote a partnership with our clients and prospects. Marketing is also responsible for all corporate collateral, brand management, lead generation, event/sponsorship coordination, CRM management, proposal development, content administration, Web and intranet development and management, video creation, marketing research, industry and competitive intel, and internal and external communications. Marketing enforces brand usage and promotes consistency across all client/prospect-facing materials.

Sales

eviCore’s Sales team (referred to as the Growth Management organization) is made up of sales, strategic client management, solution specialists, data analytics, and marketing. Sales is regarded as a trusted advisor to eviCore’s clients and prospects and work with them to develop innovative solutions to their needs. Tapping into the talents of an organization developed to ensure eviCore can understand and articulate client needs, the Growth Management team consistently works with our external partners to ensure a complementary and successful relationship.

Outstanding starts With Outreach

Innovation is at our core. It is fitting that we use innovative channels to find the people that can support and further eviCore’s mission. From internships to full-time employment, eviCore offers a flexible working environment that will encourage your creative impulses and innovative ways.
  

Integrity is Integral

The gold dot in the eviCore logo represents the gold standard in everything we do: our integrity. We actively recruit veterans through career fairs and partnerships with local military affiliations. Accordingly, we encourage former-military members to explore our openings and see how they might serve to help build a better health system for America. Veterans play a key role in our success and we have many in various roles throughout the organization.

  

Advancing to Advantage

eviCore’s philosophy on promotion is all about merit and mobility. Both of our constituent companies brought a heritage of promoting from within, and that remains a key part of our mindset and operation. Here are just a few of many success stories.

  • Bill CorneliusMultimedia Developer
  • Todd BurnettClaims Systems Configurations Coordinator II
  • Alex ManleyQM Coordinator II
  • Mary Jane RaczekClinical Manager
  • Harold BojorquezTeam Leader Operations Non-Clinical Trainer
  • Charmaine Y. Bacon RicksHuman Resources Operations Coordinator
  • Amy MalphrusClinical Operations Compliance