Talent.com
No longer accepting applications
Field Medical Director, Cardiology (Charleston)

Field Medical Director, Cardiology (Charleston)

West Virginia StaffingCharleston, WV, US
20 hours 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 the 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 Cardiology, Field Medical Director 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. As well as, aids and acts as a resource to Initial Clinical Reviewers.

What You Will Be Doing :

  • Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well as other requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert.
  • Provides clinical rationale for standard and expedited appeals.
  • Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request.
  • 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.
  • Ensures documentation of all communications with medical office staff and / or MD provider is recorded in a timely and accurate manner.
  • Participates in on-going training per inter-rater reliability process.
  • May assist the Senior Medical Director in research activities / questions related to the Utilization Management process, interpretation, guidelines and / or system support.
  • On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.
  • Qualifications - Required and Preferred :

  • MD / DO / MBBS Degree
  • Current, unrestricted clinical license in medicine or required specialty
  • Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs
  • Active Board Certification in Cardiology, Vascular Surgery or Adult Congenital Heart Disease
  • Strong clinical, management, communication, and organizational skills
  • Energetic and curious with a passion for quality and value in health care
  • Computer Proficiency
  • Minimum of five (5) years' experience in the practice of Cardiology is preferred
  • 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 a major disciplinary or legal action by a state medical board
  • 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.

    Create a job alert for this search

    Field Medical Director Cardiology • Charleston, WV, US

    Related jobs
    • Promoted
    Travel Cath Lab Tech - $3,519 per week in Parkersburg, WV

    Travel Cath Lab Tech - $3,519 per week in Parkersburg, WV

    AlliedTravelCareersCharleston, West Virginia, US
    Full-time
    AlliedTravelCareers is working with Focus Staff to find a qualified Cath Lab Tech in Parkersburg, West Virginia, 26101!.Parkersburg, WV where youll play a crucial role in providing exceptional card...Show moreLast updated: 18 days ago
    • Promoted
    District Manager

    District Manager

    BioTE MedicalCharleston, WV, US
    Full-time
    Biote Medical District Manager.Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging thro...Show moreLast updated: 30+ days ago
    • Promoted
    Locum Physician (MD / DO) - Cardiology - General / Other in Charleston, WV

    Locum Physician (MD / DO) - Cardiology - General / Other in Charleston, WV

    LocumJobsOnlineCharleston, WV, US
    Full-time +1
    LocumJobsOnline is working with VieMed Healthcare Staffing to find a qualified Cardiology MD in Charleston, West Virginia, 25304!. Partner with VHS in our mission to elevate healthcare staffing to n...Show moreLast updated: 2 days ago
    • Promoted
    Director, HTA, Value & Evidence (HV&E), Hematology

    Director, HTA, Value & Evidence (HV&E), Hematology

    Pfizer BelgiumCharleston, WV, United States
    Permanent
    The Director, HV&E, Hematology will support the strategic goals of the Oncology Division by driving optimal patient access for hematology medicines. This role directly impacts the ability to achieve...Show moreLast updated: 2 days ago
    • Promoted
    Pediatric - Cardiology Physician

    Pediatric - Cardiology Physician

    Vandalia Health, IncCharleston, WV, United States
    Full-time
    The Charleston Area Medical Center Institute for Academic Medicine is seeking a pediatric cardiologist for a full-time position in the Department of Pediatrics. The successful candidate will provide...Show moreLast updated: 23 days ago
    • Promoted
    Locum Physician (MD / DO) - Cardiology - General / Other in Parkersburg, WV

    Locum Physician (MD / DO) - Cardiology - General / Other in Parkersburg, WV

    LocumJobsOnlineCharleston, West Virginia, US
    Full-time
    LocumJobsOnline is working with CompHealth to find a qualified Cardiology MD in Parkersburg, West Virginia, 26101!.Some locum assignments can be as short as a day, others, years.Some are far from h...Show moreLast updated: 28 days ago
    • Promoted
    Physician (MD / DO) - Pediatrics - General / Other in Charleston, WV

    Physician (MD / DO) - Pediatrics - General / Other in Charleston, WV

    LocumJobsOnlineCharleston, WV, US
    Full-time
    LocumJobsOnline is working with CompHealth to find a qualified Pediatrics MD in Charleston, West Virginia, 25302!.You will enjoy living and working in West Virginia. This is one of the largest citie...Show moreLast updated: 28 days ago
    • Promoted
    Director, Medical Laboratories

    Director, Medical Laboratories

    UVA HealthCharleston, WV, US
    Full-time
    RELOCATE TO VIRGINIA OPPORTUNITY.Join our esteemed team of healthcare professionals committed to advancing healthcare through cutting-edge research, comprehensive training, and compassionate care.U...Show moreLast updated: 2 days ago
    • Promoted
    Travel Cath Lab Tech - $3,930 per week in Martinsburg, WV

    Travel Cath Lab Tech - $3,930 per week in Martinsburg, WV

    AlliedTravelCareersCharleston, West Virginia, US
    Full-time
    AlliedTravelCareers is working with Focus Staff to find a qualified Cath Lab Tech in Martinsburg, West Virginia, 25401!.Martinsburg, WV where youll play a crucial role in providing exceptional card...Show moreLast updated: 8 days ago
    • Promoted
    Chief Medical Officer - Relocate to Ohio

    Chief Medical Officer - Relocate to Ohio

    Vivo HealthStaffCharleston, WV, US
    Full-time
    Vivo HealthStaff is recruiting for a Chief Medical Officer for a healthcare organization in Central Ohio.The ideal candidate will have significant clinical experience as a physician, demonstrated l...Show moreLast updated: 30+ days ago
    • Promoted
    Cardiology - Electrophysiology Physician

    Cardiology - Electrophysiology Physician

    Vandalia Health, IncCharleston, WV, United States
    Full-time
    The Charleston Area Medical Center in Charleston West Virginia is recruiting one EP Cardiologist.This unique opportunity is a high-volume electrophysiology service working closely with a well-estab...Show moreLast updated: 23 days ago
    • Promoted
    Locum Physician (MD / DO) - Cardiology - Electrophysiology in West Virginia

    Locum Physician (MD / DO) - Cardiology - Electrophysiology in West Virginia

    LocumJobsOnlineCharleston, West Virginia, US
    Full-time +1
    LocumJobsOnline is working with Barton Associates to find a qualified Cardiac Electrophysiology MD in West Virginia!.We are seeking a skilled Cardio Electrophysiologist for a 40-day locum tenens po...Show moreLast updated: 28 days ago
    • Promoted
    Infectious Disease Physician

    Infectious Disease Physician

    Vandalia Health, IncCharleston, WV, United States
    Full-time
    Infectious Disease Employment Remote Telemedicine.Position with Charleston Area Medical Center in Charleston, WV.Brooks St, Charleston, West Virginia, 25327, United States.Physician - Infectious Di...Show moreLast updated: 20 days ago
    • Promoted
    Pediatrics Physician

    Pediatrics Physician

    ProTouch StaffingCharleston, West Virginia, United States
    Full-time +1
    Pediatrician - Charleston, WV (Residency Accepted).Job Type - Full time (On-site).We're seeking a compassionate Physician (MD or DO)-Board-Certified / Eligible in Pediatrics or Family Medicine with p...Show moreLast updated: 30+ days ago
    • Promoted
    Locum Physician (MD / DO) - Cardiology - General / Other in West Virginia

    Locum Physician (MD / DO) - Cardiology - General / Other in West Virginia

    LocumJobsOnlineCharleston, West Virginia, US
    Full-time +1
    LocumJobsOnline is working with LocumTenens.Cardiology MD in West Virginia!.Job Reference Id : ORD-154169-MD-WV.Board Certification Required : Yes. A hospital is seeking a cardiologist for locum ten...Show moreLast updated: 28 days ago
    • Promoted
    Locum Physician (MD / DO) - Cardiology - General / Other in Beckley, WV

    Locum Physician (MD / DO) - Cardiology - General / Other in Beckley, WV

    LocumJobsOnlineCharleston, West Virginia, US
    Full-time
    LocumJobsOnline is working with CompHealth to find a qualified Cardiology MD in Beckley, West Virginia, 25801!.CompHealth exists to make the locums process easier. Not only will we search for jobs t...Show moreLast updated: 8 days ago
    • Promoted
    Cardiology Physician - Competitive Salary (Charleston)

    Cardiology Physician - Competitive Salary (Charleston)

    DocCafeCharleston, WV, US
    Part-time
    DocCafe has an immediate opening for the following position : Physician - Cardiology in Charleston, West Virginia.DocCafe is the premier physician and advanced practice job board to help you advance...Show moreLast updated: 1 day ago
    • Promoted
    Physician / Cardiology / West Virginia / Permanent / Cardiology Heart Failure Physician Job near Cha

    Physician / Cardiology / West Virginia / Permanent / Cardiology Heart Failure Physician Job near Cha

    MD Staff, LLCCharleston, WV, United States
    Permanent
    A large regional medical center heart failure institute serving a population of greater than 300,000 is in need of a Heart Failure Cardiologist. They are offering a very attractive salary with benef...Show moreLast updated: 23 days ago
    • Promoted
    Cardiology Physician

    Cardiology Physician

    Goldfish Medical StaffingCharleston, West Virginia, United States
    Permanent
    West Virginia Cardiology Locum Tenens Assignment.Extraordinary Dedication to Exceeding Expectations Means.Malpractice Insurance with Contractual Guaranteed Tail Coverage Facilitated.Travel Accommod...Show moreLast updated: 1 day ago
    • Promoted
    Admissions Director

    Admissions Director

    Genesis HealthcareCharleston, WV, US
    Full-time
    At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we be...Show moreLast updated: 30+ days ago