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Medical Director in Pulmonology

2 weeks ago


Nashville, Tennessee, United States Evolent Full time

About the Role

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Evolent is seeking a seasoned Medical Director in Pulmonology to join our team. As a key member of our utilization management team, you will play a critical role in making a meaningful difference in patients' lives.

In this position, you will work closely with leadership and management staff, other physicians, and staff to provide expert clinical guidance and support. Your responsibilities will include:

  1. ">
  2. Routinely interacting with leaders and staff to provide input on complex medical cases">
  3. Serving as a subject matter expert in imaging reviews, providing clinical rationale for standard and expedited appeals">
  4. Aiding and acting as a resource to initial clinical reviewers">
  5. Ensuring accurate documentation of all communications with medical office staff and/or MD providers">

Qualifications

To be successful in this role, you will need:

  1. ">
  2. Active clinical licensure in medicine or required specialty">
  3. Minimum 5 years' experience in active clinical practice within the last 2 years">
  4. Strong clinical, management, communication, and organizational skills">
  5. Board Certification in Pulmonology">
  6. No history of major disciplinary or legal action by a state medical board">

About Evolent

Evolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. Our employees enjoy work/life balance, flexibility, and autonomy, allowing them to live their best lives while delivering exceptional care.