Physician Reviewer, Internal Medicine – Field Medical Director, Radiology (Part Time)

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🕒 May 28

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Evolent

1001 - 5000 employees

⚕️ Healthcare Insurance

🏥 Healthcare

☁️ 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 • Discuss determinations with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines • Aids and acts as a resource to Initial Clinical Reviewers • Ensures documentation of all communications is recorded • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process

🎯 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 home state license in 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 • No history of a major disciplinary or legal action by a state medical board

🏖️ Benefits

• health insurance benefits

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