Field Medical Director, Radiology – Pediatric and Adult Neurology

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🕒 March 2

🇺🇸 United States – Remote

💵 $94 - $99 / hour

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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Evolent

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

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.

📋 Description

• Serve as the Physician match reviewer in Imaging cases that do not initially meet the applicable medical necessity guidelines • 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 assure consistency • Aids and acts as a resource to Initial Clinical Reviewers • Ensures documentation of all communications with medical office staff and/or MD provider

🎯 Requirements

• 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 • Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs • Active Board Certification by an accredited organization • 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, including Medicare or Medicaid • No history of a major disciplinary or legal action by a state medical board.

🏖️ Benefits

• Health insurance benefits • Comprehensive benefits