
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.
🕒 May 12
🇺🇸 United States – Remote
💵 $95k - $100k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
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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.
• Serve as the Physician match reviewer in Imaging cases • Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process • Participates in on-going training per inter-rater reliability process.
• 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 home state medicine or required specialty • 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.
• health insurance benefits • work/life balance • flexible work arrangements • autonomy
Apply Now🕒 May 12
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