Radiology Field Medical Professional
hace 4 días
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 to make a meaningful impact on patients' lives.
Responsibilities:
- Interact with leadership, management staff, physicians, and other healthcare professionals to provide expert clinical input.
- Serve as the Physician match reviewer for imaging cases that require specialty reviews.
- Discuss determinations with requesting physicians or ordering providers, providing clinical rationale for standard and expedited appeals.
- Utilize medical/clinical review guidelines and parameters to ensure consistency in the MD review process.
- Aid and act as a resource to Initial Clinical Reviewers.
Key Skills:
- Clinical expertise in Pulmonology
- Strong communication and organizational skills
- Ability to work collaboratively in a fast-paced environment
- Familiarity with medical policies and guidelines
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