Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions. Working across multiple medical specialties and primary care, we seek to ensure that care plans align with clinical evidence, respect members’ goals and preferences, and connect seamlessly across providers and settings. We believe that every person deserves the same level of care and compassion we would want for our loved ones.
Population Health • Value-Based Care • Care Management • Accountable Care Organizations • Managed Care
1001 - 5000 employees
January 16
🇺🇸 United States – Remote
💵 $115 - $130 / hour
⏱ Part Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
Evolent partners with health plans and providers to achieve better outcomes for people with complex health conditions. Working across multiple medical specialties and primary care, we seek to ensure that care plans align with clinical evidence, respect members’ goals and preferences, and connect seamlessly across providers and settings. We believe that every person deserves the same level of care and compassion we would want for our loved ones.
Population Health • Value-Based Care • Care Management • Accountable Care Organizations • Managed Care
1001 - 5000 employees
• Key member of the utilization management team • Serve as the Physician match reviewer in Radiation Oncology and imaging cases • Discuss determinations with requesting physicians or ordering providers • Utilizes medical/clinical review guidelines and parameters • Ensures documentation of all communications with medical office staff • Participate in on-going training per inter-rater reliability process
• 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 • Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs • Active Board Certification in Radiation Oncology • Strong clinical, management, communication, and organizational skills • Energetic and curious with a passion for quality and value in health care • High speed internet over 10 Mbps
• Comprehensive benefits including health insurance benefits
Apply NowDecember 14, 2024
Part-time Medical Director role at Highmark Health, ensuring clinical standards in utilization management and case review.
🇺🇸 United States – Remote
💵 $170k - $342.3k / year
💰 $5M Grant on 2021-05
⏱ Part Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
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