Evolent
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.
Population Health • Value-Based Care • Care Management • Accountable Care Organizations • Managed Care
Associate Medical Director - Cardiology
March 1
🇺🇸 United States – Remote
💵 $275k - $290k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
Evolent
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.
Population Health • Value-Based Care • Care Management • Accountable Care Organizations • Managed Care
📋 Description
• Serve as a specialty-matched expert for cardiovascular utilization management and next generation idea and value creation • Provide clinical expertise in utilization management (UM), ensuring high-value care aligned with national guidelines • Process improvement and enhancement of peer-to-peer discussions with requesting physicians to guide appropriate clinical decision-making • Offer clinical rationale for standard and expedited appeals, ensuring compliance with UM policies and regulatory requirements • Collaborate with cross-functional teams, including clinical reviewers, management, and senior leadership, to improve decision-making and care outcomes • Assist in research, policy interpretation, and guideline development to refine the UM process • Support special projects as needed, including potential oversight of utilization management for select health plans or regions
🎯 Requirements
• MD/DO/MBBS Degree with active ABIM Board Certification in Cardiology • Unrestricted medical license in the state of residence and willingness to obtain additional state licensure as needed • Minimum 5 years of clinical experience in cardiology (preferred) • 3+ years UM experience preferred, 1 year minimum required • Strong clinical judgment, communication, and organizational skills • Passion for value-based care and improving healthcare quality • Computer proficiency and ability to navigate electronic medical review platforms • No current exclusions, sanctions, or disciplinary actions by state or federal healthcare programs (Medicare, Medicaid, OIG, or GSA)
🏖️ Benefits
• Comprehensive benefits including health insurance benefits
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