Evolent Specialty Services, Inc

Field Medical Director, Radiation Oncologist

Evolent Specialty Services, Inc(1 month ago)

RemoteFull TimeSenior$260,000 - $280,000Utilization Management
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About this role

The Physician (FMD) is a Radiation Oncology subject-matter expert on Evolent’s utilization management team who conducts specialty medical reviews and supports utilization determinations in a non-clinical setting. The role focuses on applying clinical guidelines to assess medical necessity, communicating decisions with ordering providers, and supporting initial clinical reviewers and ongoing training efforts. The position contributes to quality and compliance with URAC and NCQA standards.

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Required Skills

  • Clinical Review
  • Peer Review
  • Medical Licensing
  • Board Certification
  • Communication
  • Documentation
  • Interpreting Guidelines
  • Training
  • Research
  • Computer Proficiency

Qualifications

  • MD/DO/MBBS
  • Active State Medical License
  • Board Certification in Radiation Oncology
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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