Field Medical Director, Pain Management

Evolent Specialty Services, Inc(2 months ago)

RemoteFull TimeSenior$200,000 - $220,000Utilization Management

About this role

Evolent is hiring a Physician Clinical Reviewer specializing in Interventional Pain Management to support utilization management and improve outcomes for patients with complex conditions in a non-clinical setting. The role centers on medical necessity determinations and physician-to-physician discussions, with opportunities to contribute to a collaborative, learning-focused culture and potentially serve as a regional Medical Director as needed.

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Required Skills

Utilization Management
Clinical Review
Medical Necessity
Interventional Pain
Pain Management
Peer To Peer
Appeals Review
Clinical Documentation
URAC Standards
NCQA Standards

+4 more

Qualifications

MD
DO
MBBS
Active Medical License
Board Certification (Pain Management)

About Evolent Specialty Services, Inc

evolent.com

Evolent Health is a healthcare technology and services company focused on transforming the way healthcare is delivered and paid for. By leveraging their innovative platform, Evolent partners with health systems to improve patient outcomes, reduce costs, and streamline operations across diverse care settings. Their solutions include support for population health management, care delivery optimization, and value-based care models, all aimed at enhancing the provider and patient experience in the American healthcare system. Evolent is dedicated to simplifying healthcare complexities to create a more effective and efficient care environment.

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