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Field Medical Director, Radiology – Part Time
EvolentField Medical Director reviewing Imaging cases and providing clinical rationale for appeals in a non-clinical setting. Ensuring compliance with medical necessity guidelines in collaboration with leadership and other physicians.
About the role
Key responsibilities & impact- Serve as the Physician match reviewer in Imaging cases
- Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers
- Utilizes medical/clinical review guidelines and parameters
- Ensures documentation of all communications with medical office staff and/or MD provider is recorded
- May assist the Senior Medical Director in research activities/questions related to the Utilization Management process
- Participates in ongoing training per inter-rater reliability process
Requirements
What you’ll need- MD/DO/MBBS
- Minimum of five (5) years’ experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years is preferred
- Current, unrestricted clinical home state license in medicine or required specialty
- Active Board Certification by an accredited organization
- Strong clinical, management, communication, and organizational skills
- Energetic and curious with a passion for quality and value in health care
- Computer Proficiency
- Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid
- No history of a major disciplinary or legal action by a state medical board
Benefits
Comp & perks- health insurance benefits
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical reviewclinical review guidelinesUtilization Management
Soft Skills
communicationorganizationalmanagementenergeticcuriouspassion for qualitypassion for value in health care
Certifications
MDDOMBBSActive Board Certificationclinical home state license