• Provide medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. • Advise executives to develop functional strategies on matters of significance. • Exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision. • Conduct clinical case reviews of the care received by members in an assigned market, member population, or condition type.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role involves providing general diagnostic radiology services remotely, supporting Michigan-based coverage while allowing full remote work from anywhere in the US. - Strong general diagnostic reading skills, including CT, MRI, X-ray, and ultrasound - Ability to provide accurate and timely final reports - Board-certified by the ABR or AOBR (or board-eligible in select cases) - Fellowship subspecialties preferred but not required - Active Michigan medical license (required for this role to support state-specific coverage needs) - Flexible scheduling: full-time or part-time options available Qualifications - Board-certified (or eligible) diagnostic radiologists - Active Michigan license Requirements - Choose your employment structure (W2 or 1099) - Enjoy true remote freedom - Benefit from complete backing—no administrative distractions - Flexible full- or part-time schedules Benefits - Top-tier, competitive compensation with unlimited earning potential based on productivity - Partnerships with quality hospital and imaging facilities providing high-volume, reliable studies - Excellent work-life balance - 100% malpractice coverage including unlimited tail - Annual CME allowance - All related expenses covered (e.g., workstation, internet) - Fully remote reading from your home (or multiple locations) - Modern reading platform with advanced tools - Comprehensive medical staff, 24/7 operational, and IT support - Stable, well-supported organization Additional Incentives - Signing bonus available for select night shift roles (including neuro-focused and dedicated general/XR coverage)

• Serve as a key member of the Utilization Management team providing clinically sound medical reviews for cardiology-related service requests • Review all cases in which clinical determinations cannot be made by Initial Clinical Reviewers • Provide clear, evidence-based clinical rationale for standard and expedited appeals • Conduct peer-to-peer discussions with requesting physicians • Utilize medical and clinical review guidelines to ensure consistency in physician review processes

• Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria • Conduct peer-to-peer discussions with requesting oncologists • Actively participate in engagement sessions with oncology practices • Collaborate with Evolent’s clinical leadership on the design, build, and execution of new value initiatives in oncology • Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards