Physician Oncology-Medical Oncology - Competitive Salary

Job Description

Lead the Transformation in Oncology Care

At Evolent, we’re redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the opportunity to collaborate with top-tier clinicians, influence care pathways, and drive innovation in one of the most critical areas of health care. If you're passionate about making a measurable difference in oncology, this is your platform to lead with purpose.

In this role, you will combine your clinical oncology expertise with a focus on value-based strategy and transformation . Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation.

Core Responsibilities

• Clinical Review & Peer Collaboration

• Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care.

• Conduct peer-to-peer discussions with requesting oncologists—not only to explain determinations but to  partner in driving practice patterns aligned with value and quality outcomes .

• Support clinical reviewers as a subject matter expert and resource.

• Practice & Physician Engagement

• Actively participate in  engagement sessions with oncology practices , sharing best clinical practices and supporting broader adoption of evidence-based pathways.

• Foster trusted peer relationships with oncologists to encourage  sustainable behavior change that improves patient outcomes.

• Support practice-level transformation initiatives that reduce unwarranted variation and enhance quality.

• Internal Strategy & Value Initiatives

• Collaborate with Evolent’s clinical leadership on the  design, build, and execution of new value initiatives in oncology .

• Provide input on innovation opportunities, clinical algorithms, and models of care that support transformation in specialty care.

• Partner with operational and analytic teams to assess the impact of interventions and identify opportunities for continuous improvement.

• Participate in audit processes to validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation, performance metrics, and contractual expectations.

• Compliance & Quality

• Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards.

• Document peer interactions and clinical decisions in a timely and accurate manner.

• Participate in training and inter-rater reliability processes.