Talent.com
No longer accepting applications
Field Medical Director, Oncology (Providence)

Field Medical Director, Oncology (Providence)

Rhode Island StaffingProvidence, RI, US
4 days ago
Job type
  • Part-time
Job description

Evolent Health Care Opportunity

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work / life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture.

What You'll Be Doing :

As a Field Medical Director, Oncology, you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work-life balance on a team that values collaboration and continuous learning while providing better health outcomes.

Collaboration Opportunities :

  • Routinely interacts with leadership and management staff, other physicians, and staff whenever a physician's input is needed or required.

What You Will Be Doing :

  • Serve as the physician match reviewer in advanced imaging cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.
  • Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals.
  • Utilizes medical / clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU's policies / procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
  • 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, interpretation, guidelines and / or system support.
  • Participates in on-going training per inter-rater reliability process.
  • Qualifications :

  • 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 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 adult medical oncology
  • 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, and is not identified as an excluded person by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.
  • No history of disciplinary or legal action by a state medical board
  • To comply with HIPAA security standards (45 C.F.R. sec. 164.308 (a) (3)), identity verification may be required as part of the application process. This is collected for compliance and security purposes and only reviewed if an applicant advances to the final interview state. Reasonable accommodations are available upon request.

    Technical Requirements :

    We require that all employees have the following technical capability at their home : high speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

    Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.

    If you need reasonable accommodation to access the information provided on this website, please contact recruiting@evolent.com for further assistance.

    The expected base salary / wage range for this position is $110-$125. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

    Create a job alert for this search

    Field Medical Director Oncology • Providence, RI, US

    Related jobs
    • Promoted
    Director, Medical Oncology

    Director, Medical Oncology

    Southcoast HealthFairhaven, MA, United States
    Full-time
    Join Southcoast Health, where your future is as promising as the care we provide.Our commitment to each other, our patients, and our community is more than a mission - it's our way of life, and you...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director for Primary Care in the beautiful Ocean State!

    Medical Director for Primary Care in the beautiful Ocean State!

    The Providence Community Health Centers, Inc.Warwick, RI, US
    Full-time
    Medical Director of Primary Care Services.At Providence Community Health Centers (PCHC), we're not just providing healthcare – we're transforming lives. For more than 55 years, we'...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director

    Medical Director

    Newport County Community Mental Health CenterMiddletown, RI, US
    Full-time
    Newport Mental Health (NMH) is a progressive high-energy organization that uses state of the art person-centered recovery approach to help individuals recover from mental illness and substance use ...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Diagnostic Imaging

    Director of Diagnostic Imaging

    Sturdy HealthAttleboro, MA, US
    Full-time
    The Director of Imaging leads the medical imaging department by overseeing operations, staff, equipment, and services, ensuring high quality patient care, regulatory compliance and stakeholder sati...Show moreLast updated: 8 days ago
    • Promoted
    Physician Medical Director

    Physician Medical Director

    Cross Country Work Force SolutionsBrockton, MA, US
    Permanent
    Join our Boston or Plymouth, MA Team!.Salary Range $230,000 to $280,000 + benefits.Family Physician highly desired, Board Certified, completion of accredited residency required.Experience in commun...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Diagnostic Imaging (Attleboro)

    Director of Diagnostic Imaging (Attleboro)

    Sturdy HealthAttleboro, MA, US
    Part-time
    The Director of Imaging leads the medical imaging department by overseeing operations, staff, equipment, and services, ensuring high quality patient care, regulatory compliance and stakeholder sati...Show moreLast updated: 5 days ago
    • Promoted
    Medical Director

    Medical Director

    Theoria MedicalMiddleboro, MA, US
    Full-time
    Leading the charge in healthcare innovation, Theoria Medical offers a unique blend of medical excellence and technological advancement, primarily serving the post-acute and primary care sectors.Our...Show moreLast updated: 30+ days ago
    • Promoted
    Senior Medical Director Needed in Massachusetts

    Senior Medical Director Needed in Massachusetts

    CHG HealthcareNew Bedford, MA, US
    Permanent
    New Bedford, Massachusetts, offers physicians professional opportunity and coastal charm.Living in New Bedford means enjoying a vibrant coastal lifestyle, rich in history and culture, with easy acc...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director, PM&R Outpatient Rehabilitation – Brown Academic Appointment

    Medical Director, PM&R Outpatient Rehabilitation – Brown Academic Appointment

    Brown University HealthProvidence, RI, US
    Permanent
    Brown University Health has an opening for an experienced board-certified physiatrist with an interest in neurorehabilitation to join our growing, academically oriented Physical Medicine and Rehabi...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Perianesthesia Care Services (Providence)

    Director, Perianesthesia Care Services (Providence)

    Rhode Island HospitalProvidence, RI, United States
    Full-time
    Kirby Bates Associates to conduct a search for an accomplished.Director of Perianesthesia Care Services.This pivotal leadership role will oversee the integration and management of Pre-Admission Tes...Show moreLast updated: 5 days ago
    • Promoted
    Medical Director (Physician) (Bridgewater)

    Medical Director (Physician) (Bridgewater)

    VitalCore Health StrategiesBridgewater, Massachusetts, US
    Full-time +1
    Join the VitalCore Team in Massachusetts! Were people who are fueled by passion, not by profit.VitalCore Health Strategies (VCHS), an industry leader in Correctional Healthcare has an opening for a...Show moreLast updated: 8 days ago
    • Promoted
    Physician / Oncology / Rhode Island / Permanent / Oncology Medical Director Opening in Southern Rhod

    Physician / Oncology / Rhode Island / Permanent / Oncology Medical Director Opening in Southern Rhod

    Enterprise Medical RecruitingWakefield, RI, US
    Full-time
    A reputable Healthcare organization in southern Rhode Island is seeking a Medical Director for its Divisionof Hematology and Oncology. The Medical Director is responsible for the overall quality and...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director Physician

    Medical Director Physician

    ProTouch StaffingFall River, Massachusetts, United States
    Permanent
    Chief Medical Officer - Fall River, MA.Days (Monday-Friday); Occasional evenings / weekends as needed.Provide clinical leadership for physicians, nurse practitioners, and healthcare teams.Guide initi...Show moreLast updated: 30+ days ago
    • Promoted
    Seeking a Medical Director for a Group Near the Beaches of Rhode Island

    Seeking a Medical Director for a Group Near the Beaches of Rhode Island

    CHG HealthcareWakefield, RI, US
    Permanent
    Wakefield is a village that is centrally located to all of Rhode Island's beaches, ranging from Misquamicut beach on the western edge of the state to Second Beach in Newport.Wakefield is home to 3 ...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Endocrinology

    Director of Endocrinology

    Signature HealthcareBrockton, MA, US
    Full-time
    Come join our team at Signature Healthcare! This is a great opportunity for a BC Endocrinologist that thrives on providing excellent patient care and has an interest in clinical leadership.Our team...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director Needed in Massachusetts; About 1 Hour From Boston

    Medical Director Needed in Massachusetts; About 1 Hour From Boston

    CHG HealthcareMilford, MA, US
    Permanent
    Whether you are searching for a position in your area or in another state, we have professionals to help you achieve your goals through our relationships with facilities nationwide - in rural setti...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Operating Room, Endoscopy and Sterile Processing (Providence)

    Director, Operating Room, Endoscopy and Sterile Processing (Providence)

    Rhode Island HospitalProvidence, RI, US
    Part-time
    Kirby Bates Associates to conduct a search for an accomplished.Director, Operating Room (OR), Endoscopy, and Sterile Processing. This pivotal leadership opportunity will shape perioperative services...Show moreLast updated: 5 days ago
    • Promoted
    Medical Director (Physician)

    Medical Director (Physician)

    VitalCore Health StrategiesBridgewater, MA, United States
    Full-time
    Join the VitalCore Team in Massachusetts! Were people who are fueled by passion, not by profit.VitalCore Health Strategies (VCHS), an industry leader in Correctional Healthcare has an opening for a...Show moreLast updated: 30+ days ago
    • Promoted
    Medical Director of Oncology Needed in Coastal Rhode Island; 50 Minutes From Providence

    Medical Director of Oncology Needed in Coastal Rhode Island; 50 Minutes From Providence

    CHG HealthcareWakefield, RI, US
    Permanent
    Wakefield is a village that is centrally located to all of Rhode Island's beaches, ranging from Misquamicut beach on the western edge of the state to Second Beach in Newport.Wakefield is home to 3 ...Show moreLast updated: 30+ days ago
    Medical Director for Primary Care in the beautiful Ocean State!

    Medical Director for Primary Care in the beautiful Ocean State!

    Providence Community HealthWarwick, Rhode Island, United States, 02886
    Full-time
    Medical Director of Primary Care Services.At Providence Community Health Centers (PCHC), we're not just providing healthcare – we're transforming lives. For more than 55 years, we've been the corner...Show moreLast updated: 30+ days ago