Cardiology Utilization Management Expert

About Our Team: At Evolent, we value diversity, equity, and inclusion. Our team is passionate about creating a workplace culture that supports individuals from all backgrounds to grow and succeed. We believe that everyone deserves an opportunity to contribute their unique perspectives and experiences to drive positive change in the healthcare industry.The...

Job DescriptionThis Senior Physician Leader will be a key member of the utilization management team, providing clinical rationale for standard and expedited appeals. They will interact with leadership and management staff, other physicians, and staff as needed. The ideal candidate will utilize medical review guidelines and parameters to ensure consistency in...

Job Summary\We are seeking a skilled Radiology Utilization Management Expert to join our team. As a key member of our utilization management team, you will play a critical role in ensuring patients receive high-quality care and that our processes align with industry standards.\About This Role\This position requires strong clinical knowledge, excellent...

OverviewEvolent partners with health plans and providers to achieve better outcomes for people with the most complex and costly health conditions. Our mission is to connect the pieces of the fragmented healthcare system, ensuring individuals receive high-quality care and compassion.Job Description:We are seeking a seasoned Medical Director in Cardiology to...

Evolent partners with health plans and providers to improve healthcare outcomes for individuals with complex and costly health conditions. As a Field Medical Director, Interventional Cardiology, you will play a critical role in achieving our goal of delivering high-value, evidence-based care.Responsibilities:Review cardiovascular cases to determine medical...

We are seeking a highly skilled and experienced Field Medical Director, Interventional Cardiology to join our team at Evolent. In this role, you will utilize your expertise in interventional cardiology to review cardiovascular cases and develop recommendations for treatment.About the Role:Collaborate with cross-functional teams to address complex cases and...

At Evolent, we strive to achieve better outcomes for people with complex and costly health conditions. Our Field Medical Director, Interventional Cardiology role is a key part of this mission.What You'll Do:Provide expert reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases that do not...

Career OpportunitiesEvolent seeks talented professionals to join our team as Field Medical Directors. In this role, you will work collaboratively with health plans and providers to improve patient outcomes and advance our mission.As a Field Medical Director, you will:Develop and implement effective utilization management strategies.Collaborate with...

About Us:Evolent is committed to improving healthcare delivery by fostering partnerships between health plans and providers. We strive to bridge gaps in the system and promote quality care for individuals with complex needs.Your Role:As a Cardiology Field Medical Director, you will play a critical role in shaping our Utilization Management strategy. Your...

Evolent Associate Medical Director, Cardiology in Santa Fe, New MexicoYour Future Evolves Here 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...

About Evolent HealthEvolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. Our mission is to connect the pieces of a fragmented healthcare system and ensure people receive the same level of care and compassion we would want for our loved ones.At Evolent, we believe that people do...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX )Evolent Field Medical Director, Interventional Cardiology (Remote) in Santa Fe, New MexicoYour Future Evolves HereEvolent partners with health plans and providers...

Evolent Associate Medical Director, Cardiology in Santa Fe, New Mexico Your Future Evolves Here 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...

Evolent Associate Medical Director, Cardiology 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 and ensure people get...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ).City and state must be separated by a comma followed by a space (e.g., Houston, TX )Evolent Field Medical Director, Cardiology in Santa Fe, New MexicoYour Future Evolves Here Evolent partners with health plans and providers to achieve better...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ). City and state must be separated by a comma followed by a space (e.g., Houston, TX )Evolent Field Medical Director, Cardiology in Santa Fe, New MexicoYour Future Evolves HereEvolent partners with health plans and providers to achieve better...

Location field must contain 'city, state' or a zip code to perform a radius search (e.g., Denver, CO or 46122 ).City and state must be separated by a comma followed by a space (e.g., Houston, TX )Evolent Field Medical Director, Interventional Cardiology (Remote) in Santa Fe, New MexicoYour Future Evolves Here Evolent partners with health plans and providers...

Work with Us: As a Field Medical Director, Interventional Cardiology at Evolent, you'll have the opportunity to make a meaningful impact on patient care in a non-clinical setting. You'll work closely with our team to provide expert reviews for cardiovascular cases, ensuring high-value care aligned with clinical guidelines.About the Position: This is a 100%...

**Medical Director Job Description:**The Medical Director at Highmark Health is a senior leadership role responsible for overseeing our utilization management program. The successful candidate will have extensive experience in clinical management, with a strong background in leading multidisciplinary teams and developing protocols and guidelines.The Medical...

Evolent partners with health plans and providers to achieve better outcomes for people with complex and costly health conditions. As a key member of the utilization management team, you will be a key contributor to this effort. **Your Role:**You will serve as the Physician match reviewer in Imaging cases that do not initially meet the applicable medical...