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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, Radiation Oncologist

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

Location

United States

Posted

61 days ago

Salary

$130 - $140 / hour

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

• Serve as the Physician match reviewer in Radiation Oncology • 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 to reflect appropriate utilization • 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 • May assist the Senior Medical Director in research activities/questions related to the Utilization Management process

Job Requirements

  • MD/DO/MBBS
  • Minimum of five (5) years’ experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred
  • Current, unrestricted clinical license in medicine or required specialty
  • 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, 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), or reprimanded or sanctioned by Medicare.
  • No history of a major disciplinary or legal action by a state medical board.

Benefits

  • Comprehensive benefits (including health insurance benefits)

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