
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