Field Medical Director, Oncology
8.0/10
Evolent
$46,000 – $80,500 USD
Remote
senior
11 days ago
healthcaremedical
AI Summary
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Description
Core Responsibilities
- •Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care.
- •Conduct peer-to-peer discussions with requesting oncologists—not only to explain determinations but to partner in driving practice patterns aligned with value and quality outcomes.
- •Support clinical reviewers as a subject matter expert and resource.
- •Actively participate in engagement sessions with oncology practices, sharing best clinical practices and supporting broader adoption of evidence-based pathways.
- •Foster trusted peer relationships with oncologists to encourage sustainable behavior change that improves patient outcomes.
- •Support practice-level transformation initiatives that reduce unwarranted variation and enhance quality.
- •Collaborate with Evolent’s clinical leadership on the design, build, and execution of new value initiatives in oncology.
- •Provide input on innovation opportunities, clinical algorithms, and models of care that support transformation in specialty care.
- •Partner with operational and analytic teams to assess the impact of interventions and identify opportunities for continuous improvement.
- •Participate in audit processes to validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation, performance metrics, and contractual expectations.
- •Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards.
- •Document peer interactions and clinical decisions in a timely and accurate manner.
- •Participate in training and inter-rater reliability processes.
Compensation & Benefits
- •The expected base salary/wage range for this position is $46,000 – $80,500 USD.
- •Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees.
Requirements
Qualifications
- •MD/DO/MBBS with board certification in Medical Oncology or Pediatric Oncology.
- •Minimum five (5) years’ post-residency experience, with active clinical practice preferred within the past 2 years.
- •Current, unrestricted medical license (multiple state licenses preferred or willingness to obtain).
- •Demonstrated leadership in practice transformation, value-based care, or clinical quality improvement.
- •Strong communication, collaboration, and organizational skills, with proven ability to influence physician behavior.
- •Energetic, curious, and passionate about shaping the future of oncology care delivery.
- •Not under sanction or exclusion from Medicare/Medicaid programs.
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