Field Medical Director – Internal Medicine, Emergency Medicine, Cardiology

Medical DirectorMedical DirectorFull TimeRemoteLeadTeam 1,001-5,000H1B SponsorCompany SiteLinkedIn

Location

United States

Posted

94 days ago

Salary

$96 - $100 / hour

Seniority

Lead

Postgraduate Degree5 yrs expEnglish

Job Description

Field Medical Director – Internal Medicine, Emergency Medicine, Cardiology

Evolent

• Serve as the specialty-match reviewer for diagnostic cardiology cases • 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 or ordering providers • Utilize medical and clinical review guidelines and parameters to ensure consistency in physician review processes • Assist and act as a clinical resource to Field Medical Directors and Initial Clinical Reviewers • Ensure all communications with medical office staff and/or physician providers are documented accurately • Participate in ongoing training initiatives • Assist the Senior Medical Director with research activities and questions • Review appeal cases and/or attend hearings to support utilization management determinations • Function as Medical Director for select health plans or regions as requested

Job Requirements

  • DO, MD, or MBBS degree from an accredited institution
  • Current Board Certification in Emergency Medicine or Internal Medicine by an American Certifying Board
  • Current, unrestricted medical license in one or more U.S. states
  • Current Unrestricted Medical License in Home State
  • Demonstrated strong knowledge of diagnostic cardiology, including evaluation and management of cardiovascular conditions
  • Five (5) years of post-residency clinical experience
  • Strong verbal and written communication skills, including the ability to effectively engage in peer-to-peer discussions with treating providers
  • Proficient computer skills and experience working with clinical review and documentation systems
  • Active clinical practice experience within the past 18 months
  • Familiarity with utilization management principles and procedures within managed care organizations

Benefits

  • Health insurance benefits
  • Comprehensive benefits to qualifying employees

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Job Closed