Evolent
Field Medical Director, (Medical Oncology)
Evolent, Jackson, Mississippi, United States, 39200
Your Future Evolves Here
Evolent partners with health plans and providers to improve outcomes for people with complex and costly health conditions. We work across specialties and primary care to connect fragmented healthcare systems and ensure compassionate, consistent care for all.
Our employees enjoy work/life balance, flexibility, and autonomy, supported by an inclusive culture that values diversity and encourages bringing your whole self to work.
Join Evolent for the mission. Stay for the culture.
What You’ll Be Doing:
Serve as the Physician match reviewer in Medical Oncology and imaging cases, especially when they do not initially meet medical necessity guidelines or when specialty reviews are required by providers, clients, or laws. Discuss determinations with requesting physicians via peer-to-peer calls within regulatory timeframes, providing clinical rationale for appeals. Use medical review guidelines to ensure consistent, appropriate utilization and compliance with policies and accreditation standards. Support and act as a resource to Initial Clinical Reviewers. Accurately document all communications with medical staff and providers. Assist the Senior Medical Director with research related to Utilization Management processes and system support. Participate in ongoing training to maintain inter-rater reliability. Qualifications:
MD/DO/MBBS with active, unrestricted license in your specialty. At least five years of clinical practice, with recent active practice preferred. Board certification in Medical Oncology. Strong clinical, management, communication, and organizational skills. Passion for quality and value in healthcare. Proficiency with computers. No exclusions or sanctions from health care programs or legal actions by medical boards. Additional Requirements: Identity verification may be required for HIPAA compliance. Home technical setup: high-speed internet (>10 Mbps) and direct connection capability for call center employees. Evolent is an equal opportunity employer. Reasonable accommodations are available upon request. Contact recruiting@evolent.com for assistance. The salary range is $120-130/hr, plus potential bonuses based on performance. We offer comprehensive benefits, including health insurance. Compensation depends on skills and experience. If this isn't the right role for you, submit your contact info and resume, and we will reach out if a suitable position becomes available.
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Serve as the Physician match reviewer in Medical Oncology and imaging cases, especially when they do not initially meet medical necessity guidelines or when specialty reviews are required by providers, clients, or laws. Discuss determinations with requesting physicians via peer-to-peer calls within regulatory timeframes, providing clinical rationale for appeals. Use medical review guidelines to ensure consistent, appropriate utilization and compliance with policies and accreditation standards. Support and act as a resource to Initial Clinical Reviewers. Accurately document all communications with medical staff and providers. Assist the Senior Medical Director with research related to Utilization Management processes and system support. Participate in ongoing training to maintain inter-rater reliability. Qualifications:
MD/DO/MBBS with active, unrestricted license in your specialty. At least five years of clinical practice, with recent active practice preferred. Board certification in Medical Oncology. Strong clinical, management, communication, and organizational skills. Passion for quality and value in healthcare. Proficiency with computers. No exclusions or sanctions from health care programs or legal actions by medical boards. Additional Requirements: Identity verification may be required for HIPAA compliance. Home technical setup: high-speed internet (>10 Mbps) and direct connection capability for call center employees. Evolent is an equal opportunity employer. Reasonable accommodations are available upon request. Contact recruiting@evolent.com for assistance. The salary range is $120-130/hr, plus potential bonuses based on performance. We offer comprehensive benefits, including health insurance. Compensation depends on skills and experience. If this isn't the right role for you, submit your contact info and resume, and we will reach out if a suitable position becomes available.
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