Evolent logo
Evolent

Evolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work.

Field Medical Director, MSK Surgery - Orthopedic Surgery

Medical DirectorMedical DirectorPart TimeRemoteLeadTeam 1,001-5,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

2 days ago

Salary

$120 - $135 / hour

Seniority

Lead

Professional Certificate5 yrs expEnglish

Job Description

• Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases • Discuss determinations (peer to peer phone calls) with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process • Aids and acts as a resource to Initial Clinical Reviewers • Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner • Participates in on-going training per inter-rater reliability process

Job Requirements

  • MD/DO/MBBS
  • A clinical license, active and in good standing, in your home state is required
  • Minimum of five (5) years’ experience in the practice of Medicine, post residency
  • Active Clinical practice within the last 2 years is highly preferred
  • Current, unrestricted clinical license in medicine or required specialty
  • Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs
  • Active Board Certification in Orthopedic Surgery
  • 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, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA)
  • No history of a major disciplinary or legal action by a state medical board.

Benefits

  • Health insurance benefits
  • Flexible work arrangements

Related Categories

Related Job Pages

More Medical Director Jobs

Medical Director2 days ago
Full TimeRemoteTeam 10,001+Since 1961H1B Sponsor

The Utilization Management Nurse utilizes clinical nursing skills to support the coordination, documentation, and communication related to medical services and benefit administration determinations. This role involves coordinating and communicating with providers and members to facilitate optimal care and treatment based on established criteria and policies.

United States
$65K - $88.6K / year
Omega Healthcare Solutions logo

Coder Physician

Omega Healthcare Solutions

Founded in 2003, Omega Healthcare Management Services® (Omega Healthcare) empowers healthcare to thrive via intelligent solutions that optimize revenue cycle operations, administrative workflows, care coordination, and clinical research on a global scale. Works with providers, payers, life science companies, medical device manufacturers, health technology firms, researchers, and industry partners. Serves more than 350 healthcare organizations with 35,000 skilled workers in the United States, India, Colombia, and the Philippines. For more information, visit www.omegahms.com .

Medical Director2 days ago
Full TimeRemoteTeam 2-10

The Coder Physician reviews medical records to perform coding on all diagnoses, procedures, DRG/APC, and charge codes, ensuring the most accurate codes are used for reimbursement and analysis. Responsibilities include abstracting, coding, and sequencing clinical information from various medical records while maintaining patient confidentiality.

United States
Included Health logo

Psychiatrist

Included Health

Dedicated to offering “all included” healthcare for people everywhere, Included Health offers high-quality, customized medical expertise, virtually or in pe

Medical Director2 days ago
Full TimeRemote

The Psychiatrist will provide compassionate, high-quality virtual care by using video-based visits to diagnose and treat mental, emotional, and behavioral disorders, including psychotropic medication management. Responsibilities also include developing treatment plans, monitoring medication effects, and collaborating with other healthcare professionals.

United States
Included Health logo

Psychiatrist

Included Health

Dedicated to offering “all included” healthcare for people everywhere, Included Health offers high-quality, customized medical expertise, virtually or in pe

Medical Director2 days ago
Full TimeRemote

Psychiatrists will use video-based visits to diagnose and treat various mental, emotional, and behavioral disorders, providing psychotropic medication management. They will also develop treatment plans, monitor medication effects, and collaborate with other healthcare professionals to restore optimal mental health.

United States