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Field Medical Director, MSK Surgery
EvolentField Medical Director for MSK Surgery in non-clinical environment serving as Physician match reviewer. Collaborating with utilization management team to improve health outcomes.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in Orthopedic Surgery with a focus on Hip, Knee, and Shoulder cases, ensuring adherence to clinical review guidelines and effective communication with medical providers. Maintains active clinical practice and board certification while upholding high standards in documentation and utilization management.
Highest-signal resume keywords
MD/DO/MBBSActive Clinical LicenseBoard Certification in Orthopedic SurgeryFive Years’ Experience in MedicineClinical Review Guidelines
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Soft Skills
Strong Communication SkillsOrganizational SkillsManagement Skills
Tools & Technologies
Computer Proficiency
Certifications & Qualifications
Active Board Certification in Orthopedic Surgery
Industry Keywords
Utilization ManagementPeer to Peer ReviewClinical ReviewInter-Rater ReliabilityHealth Care Quality
About the role
Key responsibilities & impact- Serve as the Physician match reviewer in Hip/Knee/Shoulder Surgery cases
- Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers
- Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process
- Aids and acts as a resource to Initial Clinical Reviewers
- Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner
- May assist the Senior Medical Director in research activities/questions related to the Utilization Management process
- Participates in on-going training per inter-rater reliability process
Requirements
What you’ll need- MD/DO/MBBS
- A clinical license, active and in good standing, in your home state is required
- Minimum of five (5) years’ experience in the practice of Medicine, post residency
- Active Clinical practice within the last 2 years is highly preferred
- Current, unrestricted clinical license in medicine or required specialty
- Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs
- Active Board Certification in Orthopedic Surgery
- 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
Benefits
Comp & perks- Health insurance benefits
- Flexible work arrangements