Evolent Specialty Services, Inc

Field Medical Director, Pain Management

Evolent Specialty Services, Inc(2 months ago)

RemotePart TimeSenior$210,000 - $220,000Utilization Management
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About this role

Evolent is hiring a Physician Clinical Reviewer specializing in Interventional Pain Management to support utilization management for health plans and providers. The role operates in a non-clinical setting focused on improving patient outcomes and enabling work/life balance within a collaborative culture. It includes peer-to-peer clinical determinations and may provide coverage as a Medical Director for certain plans or regions when requested.

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Required Skills

  • Utilization Management
  • Clinical Review
  • Pain Management
  • Interventional Pain
  • Medical Necessity
  • Peer-to-Peer
  • Clinical Documentation
  • Appeals Review
  • URAC Compliance
  • NCQA Compliance

+4 more

Qualifications

  • MD/DO/MBBS
  • Unrestricted Medical License
  • Board Certification In Pain Management
Evolent Specialty Services, Inc

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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