Associate Medical Director, Cardiology

3 days ago

Lincoln, Nebraska, United States Evolent Full time

Evolent Associate Medical Director, Cardiology in Lincoln, Nebraska

Your Future Evolves Here

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:

Associate Medical Director – Cardiovascular Medicine (Cardiologist) | Evolent Health

Are you looking to leverage your expertise in cardiovascular medicine to drive meaningful change beyond the bedside? Evolent Health is seeking an Associate Medical Director – Cardiovascular Medicine to play a critical role in Performance Suite risk arrangements with payers and strategic utilization management initiatives. This is an opportunity for a Cardiologist to shape high-value patient care through evidence-based strategies, enhancing peer-to-peer discussions, and strategic collaboration—all while enjoying a better work-life balance in a non-clinical setting.

What You'll Do:
  1. Serve as a specialty-matched expert for cardiovascular utilization management and next generation idea and value creation.
  2. Provide clinical expertise in utilization management (UM), ensuring high-value care aligned with national guidelines.
  3. Process improvement and enhancement of peer-to-peer discussions with requesting physicians to guide appropriate clinical decision-making.
  4. Offer clinical rationale for standard and expedited appeals, ensuring compliance with UM policies and regulatory requirements.
  5. Collaborate with cross-functional teams, including clinical reviewers, management, and senior leadership, to improve decision-making and care outcomes.
  6. Assist in research, policy interpretation, and guideline development to refine the UM process.
  7. Support special projects as needed, including potential oversight of utilization management for select health plans or regions.
What We Offer:
  1. A unique opportunity to impact patient care beyond direct clinical practice.
  2. A collaborative and innovative work environment.
  3. The ability to influence utilization management strategies in cardiovascular medicine.
  4. A role that fosters continuous learning, professional development, and leadership growth.
Qualifications – Required & Preferred:
  1. MD/DO/MBBS Degree with active ABIM Board Certification in Cardiology (with Cardiology training and clinical experience).
  2. Unrestricted medical license in the state of residence and willingness to obtain additional state licensure as needed.
  3. Minimum 5 years of clinical experience in cardiology (preferred).
  4. 3+ years UM experience preferred, 1 year minimum required.
  5. Strong clinical judgment, communication, and organizational skills.
  6. Passion for value-based care and improving healthcare quality.
  7. Computer proficiency and ability to navigate electronic medical review platforms.
  8. No current exclusions, sanctions, or disciplinary actions by state or federal healthcare programs (Medicare, Medicaid, OIG, or GSA).

Join us at Evolent Health and be part of a team that is transforming healthcare delivery. If you're ready to apply your cardiovascular expertise in a way that maximizes impact while enhancing your work-life balance, we'd love to hear from you

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 $275,000-290,000. 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 the experience of selected individuals, which may vary above and below the stated amounts.

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