Field Medical Director – Vascular Surgery

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October 10

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Evolent

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Healthcare Insurance • Healthcare • SaaS

Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

📋 Description

• Serve as the specialty match reviewer in Vascular cases • Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers • Provides clinical rationale for standard and expedited appeals • Utilizes medical/clinical review guidelines and parameters to ensure consistency in the MD review process • Aids and acts as a resource to Initial Clinical Reviewers • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner • Participates in ongoing training per inter-rater reliability process • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process

🎯 Requirements

• MD/DO/MBBS- Required • Minimum of five (5) years’ experience in the practice of Vascular Surgeon- Preferred • Current, unrestricted clinical license in medicine or required specialty- Required • Obtaining and maintaining medical licenses in the state you reside- Required • Active Board Certification in Vascular Surgery or Active Board Certification in General Surgery with extensive experience in Vascular Surgery- 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

• work/life balance • flexibility to suit their work to their lives • autonomy to get things done • diversity and inclusion as core to our business