Radiology Physician Advisor

Radiology Clinical Management SpecialistBetter Patient Outcomes through CollaborationEvolent partners with health plans and providers to achieve better health outcomes for patients. As a Radiology Clinical Management Specialist, you'll be an integral part of the utilization management team, working to bridge the gaps in the healthcare system.We prioritize...

Evolent seeks a highly skilled and experienced Field Medical Director, Radiology to join our team.The ideal candidate will possess strong clinical expertise in Pulmonology and have a proven track record of success in a similar role.Responsibilities:Routinely interact with leadership, management staff, physicians, and other healthcare professionals to provide...

Evolent partners with health plans and providers to achieve better health outcomes.We seek to connect the pieces of the fragmented healthcare system and ensure people get the same level of care and compassion we would want for our loved ones.The Field Medical Director, Radiology will play a key role in this effort, working across specialties and primary care...

Radiology Physician Reviewer - Make a DifferenceCollaborative Approach to Better HealthEvolent collaborates with health plans and providers to improve patient outcomes. As a Radiology Physician Reviewer, you'll be an integral part of the utilization management team, working to connect the pieces of the fragmented healthcare system.We foster a culture of...

Join Evolent's team as a Field Medical Director, Radiology and contribute to the development of innovative solutions that improve health outcomes and reduce costs. This role requires a strong understanding of medical and clinical guidelines and a commitment to delivering high-quality patient care.Routinely interacts with leadership and management staff,...

About the Role">This is a Field Medical Director opportunity for a highly skilled and experienced physician to join our team in radiology. As a key member of our utilization management team, you will play a meaningful role in making a difference in patients' lives in a non-clinical environment.You will work closely with leadership and management staff, other...

Qualifications and RequirementsThe ideal candidate for this position should have an MD/DO/MBBS degree, with a minimum of five years' experience in the practice of Medicine, post-residency, and Active Clinical practice within the last 2 years preferred. You should also hold current, unrestricted clinical license in medicine or required specialty.Apart from...

About the RoleThe Field Medical Director, Radiology position involves serving as the Physician match reviewer in Imaging cases that do not initially meet the applicable medical necessity guidelines. You will discuss determinations with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provide...

Evolent Field Medical Director, Radiology (Endocrinology) in Santa Fe, New MexicoYour Future Evolves HereEvolent 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...

**Why Join Our Team?:**Evolent is committed to delivering exceptional patient care while maintaining compliance with regulatory guidelines. As a valued member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients.In this role, you will work closely with our healthcare partners to ensure that patients receive...

About UsEvolent is a leading healthcare organization that partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions.We strive to connect the pieces of the fragmented healthcare system, ensuring individuals receive the same level of care and compassion we would want for our loved ones.Our...

**Key Responsibilities:**We are seeking a highly skilled Radiology Utilization Specialist to join our team. In this role, you will be responsible for reviewing imaging requests and determining medical necessity. You will work closely with our healthcare partners to ensure that patients receive appropriate care while maintaining compliance with regulatory...

Humana is committed to putting health first for our customers and teammates. As a Chief Medical Officer - Utilization Management, you will be responsible for overseeing the utilization management of care received by members in assigned markets, member populations, or condition types. Your expertise in medical interpretation and utilization management will...

Evolent Field Medical Director, Radiology (ENT Preferred) in Santa Fe, New MexicoYour Future Evolves HereEvolent 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 a fragmented health care system and...

Evolent Field Medical Director, Radiology (Pulmonology Preferred) in Santa Fe, New MexicoYour Future Evolves HereEvolent 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 the fragmented health care system...

Evolent Field Medical Director, Radiology (General Surgery Preferred) in Santa Fe, New MexicoYour Future Evolves HereEvolent 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...

OverviewPerforms diagnostic ultrasound exams for subsequent evaluation and treatment by attending physician. Takes call.Type of Opportunity: Per Required NeedFTE: 0.001000Exempt: NoWork Schedule: Varied Days and HoursQualificationsTwo years radiology ultrasound specific college coursework, Associates Degree or Diploma Preferred. RDMS Certification Required....

Evolent's mission is to improve health outcomes for individuals with complex and costly health conditions.We partner with health plans and providers to achieve better results through collaboration and continuous learning.The ideal candidate will be a key member of our utilization management team, contributing to the development of medical policies and...

Evolent is committed to delivering exceptional patient care and improving health outcomes.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.The Field Medical Director, Radiology will contribute to this mission by serving as a key member of our utilization...

As a Senior Physician Advisor at Humana, you will lead the way in medical direction and clinical decision-making. Your responsibilities will include providing medical interpretation and determinations on services provided by healthcare professionals, ensuring alignment with national guidelines, CMS requirements, and Humana policies. You will collaborate with...