[Hiring] Radiation Oncology Field Medical Director @Evolent

Role Description

As a Field Medical Director in Radiation Oncology, you will be a key member of the utilization management team, providing a meaningful way to make a difference in patients’ lives in a non-clinical environment. Enjoy better work-life balance on a team that values collaboration and continuous learning while providing better health outcomes.

Collaboration Opportunities:

• Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician's input is needed or required.

What You Will Be Doing:

• Serve as the Physician match reviewer in Radiation Oncology and imaging cases that do not initially meet the applicable medical necessity guidelines.
• Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request.
• Utilize medical/clinical review guidelines and parameters to assure consistency in the MD review process.
• Aid and act as a resource to Initial Clinical Reviewers.
• Ensure documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner.
• Assist the Senior Medical Director in research activities/questions related to the Utilization Management process.
• Participate in ongoing training per inter-rater reliability process.

Qualifications

• MD/DO/MBBS
• Minimum of five (5) years’ experience in the practice of Medicine, post residency.
• Active Clinical practice within the last 2 years is preferred.
• Current, unrestricted clinical license in medicine or required specialty.
• Active Board Certification in Radiation Oncology.
• Strong clinical, management, communication, and organizational skills.
• Energetic and curious with a passion for quality and value in health care.
• Computer Proficiency.
• Not under current exclusion or sanction by any state or federal health care program.
• No history of a major disciplinary or legal action by a state medical board.

Requirements

• To ensure a secure hiring process, several identity verification steps are implemented, including submission of a government-issued photo ID.
• Conduct identity verification during interviews; final interviews may require onsite attendance.
• All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment.
• The use of artificial intelligence tools during interviews is prohibited and monitored.
• Misrepresentation will result in immediate disqualification from consideration.

Benefits

• The expected base salary/wage range for this position is $130-$145/hr.
• Evolent offers comprehensive benefits, including health insurance benefits, to qualifying employees.
• All compensation determinations are based on the skills and experience required for the position.

Company Description

Evolent partners with health plans and providers to achieve better outcomes for people with the most complex and costly health conditions. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. Join Evolent for the mission. Stay for the culture.