Field Medical Director, Cardiology

January 16

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Evolent

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Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions. Working across multiple medical specialties and primary care, we seek to ensure that care plans align with clinical evidence, respect members’ goals and preferences, and connect seamlessly across providers and settings. We believe that every person deserves the same level of care and compassion we would want for our loved ones.

1001 - 5000 employees

📋 Description

• Key member of the utilization management team • Serve as the specialty match reviewer in Cardiology cases • Provides clinical rationale for standard and expedited appeals • Discusses determinations with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines to assure consistency • Ensures documentation of all communications are recorded accurately • Participates in on-going training per inter-rater reliability process • May assist the Senior Medical Director in research activities • Function as Medical Director for health plans or regions on request

🎯 Requirements

• MD/DO/MBBS Degree • Current, unrestricted clinical license in medicine or required specialty • Obtaining and maintaining medical licenses in state of residence • Active Board Certification in Cardiology, Vascular Surgery or Adult Congenital Heart Disease • Strong clinical, management, communication, and organizational skills • Energetic and curious with a passion for quality and value in health care • Minimum of five (5) years’ experience in the practice of Cardiology

🏖️ Benefits

• Comprehensive benefits including health insurance benefits • Work/life balance • Flexibility to suit personal lives • Autonomy to perform tasks