Physician Reviewer, Internal Medicine – Field Medical Director, Radiology (Part Time)

Evolent

Physician Reviewer focusing on medical necessity guidelines in Imaging cases for utilization management. Collaborating with healthcare providers to ensure compliance and quality care in a non-clinical environment.

Posted 5/28/2026part-timeRemote • 🇺🇸 United StatesLead💰 $95,000 - $100,000 per yearWebsite

About the role

Key responsibilities & impact

Serve as the Physician match reviewer in Imaging cases
Discuss determinations with requesting physicians or ordering providers
Utilizes medical/clinical review guidelines
Aids and acts as a resource to Initial Clinical Reviewers
Ensures documentation of all communications is recorded
May assist the Senior Medical Director in research activities/questions related to the Utilization Management process

Requirements

What you’ll need

MD/DO/MBBS
Minimum of five (5) years’ experience in the practice of Medicine, post residency
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
No history of a major disciplinary or legal action by a state medical board

Benefits

Comp & perks

health insurance benefits

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical reviewclinical reviewutilization managementphysician match reviewdocumentationresearch activities

Soft Skills

communicationorganizationalmanagementenergeticcuriouspassion for qualitypassion for value in health care

Certifications

MDDOMBBSactive board certificationunrestricted clinical license