
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 28
🇺🇸 United States – Remote
💵 $130 - $140 / hour
⏱ Part 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 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 • Aids and acts as a resource to Initial Clinical Reviewers • Ensures documentation of all communications is recorded in a timely and accurate manner • Participates in on-going training per inter-rater reliability process • May assist the Senior Medical Director in research activities/questions related to Utilization Management process
• 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
• comprehensive benefits (including health insurance benefits)
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