Field Medical Director, Cardiology
2 days ago
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 the 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 the 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.
- Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician's input is needed or required. 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 ongoing 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
- 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 reopening 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 for further assistance.
The expected base salary/wage range for this position is $120-$135/hr. This position is also eligible for a bonus component that would be dependent on predefined 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 the experience of selected individuals, which may vary above and below the stated amounts.
#J-18808-Ljbffr-
Field Medical Director, Cardiology
2 days ago
Jackson, MS, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Jackson, Mississippi Apply Now 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...
-
Field Medical Director, Cardiology
2 days ago
Columbia, SC, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Columbia, South Carolina 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 the fragmented health care system and ensure people get the same...
-
Field Medical Director, Cardiology
2 days ago
Columbus, OH, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Columbus, Ohio Apply Now 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...
-
Field Medical Director, Cardiology
2 days ago
Boise, ID, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Boise, Idaho Apply Now 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 the fragmented health care system and ensure people get the same level...
-
Field Medical Director, Cardiology
2 days ago
Lincoln, NE, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Lincoln, Nebraska Apply Now 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...
-
Field Medical Director, Cardiology
2 days ago
Honolulu, HI, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Honolulu, Hawaii Apply Now 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...
-
Field Medical Director, Cardiology
2 days ago
Trenton, NJ, United States Evolent Health Full timeEvolent Health Field Medical Director, Cardiology Trenton, New Jersey Apply Now 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 the fragmented health care system and ensure people get the...
-
Medical Director
7 days ago
United, United States SUMO Medical Staffing Full timeAbout the RoleWe are seeking a highly skilled Medical Director in Cardiology to join our team at SUMO Medical Staffing. This is a unique opportunity to work with a dynamic group of professionals and contribute to the success of our organization.Key ResponsibilitiesSupervise non-invasive cardiology services, including stress testing and EKG...
-
Field Medical Director, Genetic Testing
18 hours ago
Nashville-Davidson, TN, United States Evolent Health Full timeEvolent Health Field Medical Director, Genetic Testing Nashville, Tennessee Apply Now 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 the fragmented health care system and ensure people get...
-
Nashville, Tennessee, United States Physician Empire Full timeWe are seeking a skilled Medical Director to lead our Cardiology practice in North Central Tennessee. Located 100 miles from Nashville, Knoxville, and Chattanooga, this position offers a unique blend of professional challenges and personal opportunities.OverviewOur practice is committed to providing exceptional patient care and advancing the field of...
-
Nashville, Tennessee, United States Physician Empire Full timeWe are seeking a highly skilled Medical Director to lead our Cardiology department at Physician Empire in Central Tennessee. With a strong focus on delivering exceptional patient care, you will oversee the entire cardiology program, ensuring that we provide the highest quality services to our patients.About Our Cardiology ProgramOur 11-physician cardiology...
-
Medical Director of Non-Invasive Cardiology
7 days ago
Nashville, Tennessee, United States Medicorp, Inc Full timeAt Medicorp, Inc, we are seeking a skilled Medical Director of Non-Invasive Cardiology to join our esteemed team. This is an excellent opportunity for a BC/BE Non-Invasive Cardiologist to contribute their expertise and leadership skills in an established practice.About the RoleWe require a dedicated professional with at least three years of experience in...
-
Medical Director
1 week ago
United, United States NHR Full timeWe are seeking a highly skilled Medical Director for our Noninvasive Cardiology department. This is an exciting opportunity to lead a team of healthcare professionals in providing exceptional patient care and improving health outcomes.About the RoleThis senior position involves overseeing the daily operations of our outpatient-only cardiology clinic,...
-
Nashville, Tennessee, United States Physician Empire Full timeJob Overview: Physician Empire is seeking a skilled medical director to join our team in Tennessee. This exciting opportunity will allow you to utilize your expertise in cardiology to lead and manage our clinical operations.Estimated Salary: $300,000 - $400,000 per year, depending on experience and qualifications.About the Role: As a medical director at...
-
Medical Director
6 days ago
Nashville, Tennessee, United States Physician Empire Full timeCompany OverviewPhysician Empire is a leading healthcare organization dedicated to delivering exceptional patient care and advancing medical knowledge. Our team of highly skilled professionals shares a passion for excellence, collaboration, and innovation.About the RoleWe are seeking a Medical Director for our Cardiology Services department in the...
-
Medical Director Opportunity in Cardiology
1 week ago
United, United States Physician Empire Full timeAbout the OpportunityWe are seeking a highly skilled Medical Director to join our team of cardiologists in Pennsylvania. As a key member of our group, you will have the opportunity to lead and contribute to the development of our cardiology program.Overview of the PracticeThe practice is a collegial group of experienced cardiologists who share a commitment...
-
Nashville, United States Ascension Tennessee Full timeDetailsSpecialty: Physician, Cardiology, Cardiovascular Service Line Co?DirectorSchedule: Full?time, .6 clinical .4 administrativePractice Detail: Nationally known cardiovascular program adding a Co?DirectorEMR System: Cerner inpatient, Athena outpatientFacility: Ascension Saint Thomas West HospitalLocation: Nashville, TNBenefitsPaid time off (PTO) Various...
-
United, United States Physician Empire Full timeEstablished Cardiology Practice Seeks Medical DirectorPhysician Empire is seeking a skilled Interventional Cardiologist to join our established practice as a Medical Director.About the OpportunityJoin a collegial group of five cardiologists, including all sub-specialties, in a stable and secure employment setting.Work closely with Cardiovascular Service Line...
-
Nurse Director Medical ICU
1 day ago
Nashville, TN, United States TriStar Skyline Medical Center Full timeWant to join a team of daring managers who care without reservations or limits? Our TriStar Skyline Medical Center team is looking for a Director of Infection Prevention. HCA Healthcare is an advanced healthcare network that has committed up to $300 million to our incredible team members over the course of three years. TriStar Skyline Medical Center offers...
-
Nurse Director Medical ICU
6 days ago
Nashville, TN, Davidson County, TN; Tennessee, United States TriStar Skyline Medical Center Full timeLast year alone, HCA Healthcare colleagues invested over 156,000 hours impacting our communities. As an Inpatient Rehab Nurse Director with TriStar Skyline Medical Center, you can be a manager in an organization that is devoted to giving! TriStar Skyline Medical Center offers a total rewards package that supports the health, life, career and retirement of...
