Field Medical Director, Cardiology

Job not on LinkedIn

🔥 58 minutes ago

🇺🇸 United States – Remote

💵 $120 - $135 / hour

⏱ Part Time

🔴 Lead

👨‍⚕️ Medical Director

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Evolent

WebsiteLinkedInAll Job Openings

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

• Provide expert utilization-management reviews for cardiovascular Electrophysiology and Diagnostic Cardiology cases • Conduct peer-to-peer discussions with treating providers regarding appropriate, high-value care • Collaborate with leadership, management, and clinical staff on complex cases and decision-making • Guide Initial Clinical Reviewers and support best-practice application • Provide clinical rationale for standard and expedited appeals • Discuss determinations with requesting physicians or ordering providers within regulatory timeframes • Apply medical and clinical review guidelines to ensure consistent, compliant physician review processes • Document communications with medical office staff and physicians accurately and promptly • Participate in ongoing inter-rater reliability training • Assist the Senior Medical Director with utilization-management research, guideline interpretation, and system-support questions • Serve as Medical Director for selected health plans or regions when requested

🎯 Requirements

• MD/DO/MBBS Degree • Current, unrestricted clinical license in medicine or required specialty • Obtain and maintain medical licenses in the state of residence and other states required by business needs • Active Board Certification in Electrophysiology, or qualifying alternatives: active Cardiology board certification with prior Electrophysiology board certification, or active Cardiology board certification with 5+ years of active Electrophysiologist practice • Strong clinical, management, communication, and organizational skills • Computer proficiency • Minimum of five years' Electrophysiology practice experience is preferred • Not under current exclusion or sanction by any state or federal health care program • No history of major disciplinary or legal action by a state medical board • High-speed internet over 10 Mbps at home • Ability for call center employees to plug directly into the home internet router • Government-issued photo ID for identity verification • Comprehensive background check • In-person I-9 verification • May be subject to drug screening prior to employment • AI tools prohibited during interviews

🏖️ Benefits

• Work/life balance • Flexible work arrangements and autonomy • 100% remote work • Flexible schedule • Part-time and full-time options • Comprehensive benefits, including health insurance benefits, for qualifying employees