Radiation Oncology Field Medical Director

🕒 August 6

🇺🇸 United States – Remote

💵 $130 - $145 / hour

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 45%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 99 days.
• Jobs at this company usually fill in 21 days.
• Reposted once.

Apply Now

Check your resume score

Customize resume + cover letter

Find Similar Remote Jobs

☆ Save☑️ Mark as applied❌ Hide

Report problem

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

• Serve as the Physician match reviewer in Radiation Oncology and imaging cases that do not initially meet applicable medical necessity guidelines • Complete specialty reviews for imaging requests when required by providers, clients, or state laws • Discuss determinations with requesting physicians or ordering providers through peer-to-peer calls within regulatory timeframes • Provide clinical rationale for standard and expedited appeals • Use medical/clinical review guidelines and parameters to ensure consistency, appropriate utilization, and compliance with company policies and URAC/NCQA guidelines • Act as a resource to Initial Clinical Reviewers • Document communications with medical office staff and MD providers accurately and promptly • Assist the Senior Medical Director with utilization management research, interpretation, guidelines, and system-support questions • Participate in ongoing training through the inter-rater reliability process • Routinely interact with leadership, management staff, physicians, and staff when physician input is needed

🎯 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 license in medicine or required specialty • Obtain and maintain medical licenses in the state of residence and any license required per business needs • Active Board Certification in Radiation Oncology • Strong clinical, management, communication, and organizational skills • Computer proficiency • Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid • Not identified as an excluded person by the Office of Inspector General of HHS or GSA, or reprimanded or sanctioned by Medicare • No history of a major disciplinary or legal action by a state medical board • Government-issued photo ID submission and identity verification during interviews • Comprehensive background check • In-person I-9 verification • May be subject to drug screening prior to employment • High-speed internet over 10 Mbps at home • For call center employees, ability to plug directly into the home internet router • Artificial intelligence tools prohibited during interviews

🏖️ Benefits

• Work/life balance • Flexible work arrangements • Autonomy • Collaboration and continuous learning • Comprehensive benefits, including health insurance benefits, for qualifying employees • High-speed home internet requirement/support context

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume