Evolent

Field Medical Director, Internal Medicine/Emergency Medicine - Cardiology Team

Evolent

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $96 - $100 per hour

Job Level

About the role

  • 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

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
  • Demonstrated strong knowledge of diagnostic cardiology, including evaluation and management of cardiovascular conditions
  • Strong verbal and written communication skills
  • Proficient computer skills and experience working with clinical review and documentation systems
  • Familiarity with utilization management principles and procedures within managed care organizations
Benefits
  • health insurance benefits
  • flexibility to suit their work to their lives
  • work/life balance
  • comprehensive benefits
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
diagnostic cardiologyclinical reviewevidence-based clinical rationalemedical reviewsevaluation and management of cardiovascular conditions
Soft Skills
strong verbal communicationstrong written communication
Certifications
DOMDMBBSBoard Certification in Emergency MedicineBoard Certification in Internal Medicine