Cardiology Field Medical Director IM/EM Utilization
Evolent Specialty Services, Inc
Evolent Specialty Services, Inc is seeking an IM-EM/Cardiology Field Medical Director to join their Utilization Management team. You will play a crucial role in reviewing cardiology-related service requests and ensuring they meet medical necessity guidelines. This position allows for impactful contributions to patient care in a non-clinical environment. The ideal candidate will hold a relevant medical degree, have board certification, and possess strong knowledge in diagnostic cardiology and clinical review systems. Competitive salary and comprehensive benefits are offered. #J-18808-Ljbffr
$96 - $100 per hour
...What You’ll Be Doing As an IM-EM/Cardiology Field Medical Director, you will serve as a key member of the Utilization Management team, providing timely, clinically sound medical reviews for cardiology‑related service requests that do not initially meet applicable medical...SuggestedHourly payWork at officeImmediate start- ...A leading healthcare organization is looking for a Cardiology Field Medical Director. In this role, you will be pivotal in utilization management, conducting specialty reviews and providing clinical rationale for appeals. Required qualifications include an MD/DO degree...Suggested
- ...Evolent is seeking a FMD, Radiology to join their utilization management team. This role requires serving as a physician match reviewer for imaging cases and ensuring compliance with medical review processes. Ideal candidates will have a minimum of five years' experience...Suggested
$120 - $135 per hour
...the specialty match reviewer in Cardiology cases, that do not initially meet the applicable medical necessity guidelines, as well... ...timeframe of the request. Utilize medical/clinical review guidelines... ...May assist the Senior Medical Director in research activities/...SuggestedWork at office- ...Evolent is seeking a Vascular Surgery Field Medical Director to join our utilization management team. This role allows you to make a significant impact in patients’ lives while enjoying better work-life balance in a collaborative environment. The ideal candidate will...Suggested
$176.6k - $294.3k
## Specialty Care Field Medical, Director, non-MDApplylocations: United States -... ...external medical stakeholders (“EMS”) and initiatives in an... ...Affairs colleagues, partner with IM/SC Research & Development... ...skills* Rapidly adopt and utilize new digital technology and other...Permanent employmentH1bLocal areaRemote workVisa sponsorshipWork visaRelocation packageFlexible hours$176.6k - $294.3k
Specialty Care Field Medical, Director, non-MD We’re in relentless pursuit of breakthroughs... ...medical stakeholders (“EMS”) and initiatives in an... ...colleagues, partner with IM/SC Research & Development and... ...technical skills Rapidly adopt and utilize new digital technology and...Permanent employmentLocal areaRemote workRelocation packageFlexible hours$120 - $135 per hour
...to our business. Join Evolent for the mission. Stay for the culture. What You’ll Be Doing As a Cardiology, Field Medical Director you will be a key member of the utilization management team. You can enjoy better work‑life balance on a team that values collaboration and...Work at officeImmediate start- ...candidate holds an MD, has five years of experience, and is active in clinical practice. This role involves ensuring compliance with medical necessity guidelines and documenting all communications effectively. Evolent values diversity and offers a comprehensive benefits...
$130 - $140 per hour
...Evolent Specialty Services, Inc is seeking a Vascular Surgery Field Medical Director. The role involves reviewing specialty cases, providing clinical rationale for appeals, and maintaining documentation accuracy while interacting with medical staff. Applicants must hold...Hourly pay$135 - $150 per hour
...cases that do not initially meet applicable medical necessity guidelines, and for other... ...within the required regulatory timeframe. Utilize medical/clinical review guidelines and... ...accurate manner. Assist the Senior Medical Director in research activities or questions...Hourly payWork at officeWork from home$210k - $250k
...with unmet needs as quickly as possible. What You’ll Do The Field Medical Director (FMD) is a field-based scientific expert responsible for... ...providing medical and scientific information on the appropriate utilization of therapies, and advancing therapeutic disease‑state...Work at officeLocal areaNight shift- ...Oncology Field Medical, Director (MD), Solid Tumors and Early Pipeline The Oncology Field Medical, Director is responsible for providing therapeutic... ...clinical and technical skills Rapidly adopt and utilize new digital technology and other resources with medical...Local areaRemote workFlexible hours
- ...A leading healthcare organization is seeking a Field Medical Director specializing in MSK Surgery to join their utilization management team. This non-clinical role offers a great work-life balance while making a meaningful difference in patients' lives. Candidates should...
- Specialty Care Field Medical, Director, MD We’re in relentless pursuit of breakthroughs that change patients’ lives. In this role, you will provide... ...across a broad range of external medical stakeholders (EMS) and initiatives in an assigned territory. Responsibilities...Permanent employmentLocal areaRemote workRelocation package
$100 - $140 per hour
...Altais Health Solutions is seeking a Medical Director of Utilization and Medical Management to oversee and improve healthcare delivery processes. This role demands collaboration with various healthcare providers and leadership across multiple committees. Qualified candidates...Hourly payDaily paid$79.8k - $126k
...Judi Health is seeking a Medical Director (Texas Licensed) for a remote position. The role will involve overseeing clinical support for Capital Rx's utilization management programs and making clinical determinations for patient care. Qualified candidates must have an active...Remote work- ...Now Hiring: Medical Director – Utilization Management 100% Remote | Must work PST hours Medicare Advantage | Inpatient & Post-Acute Focus We’re looking for an experienced Medical Director (Utilization Management) to help lead clinical integrity and medical necessity decision...Immediate startRemote work
- ...our employees consistently vote us one of the “Best Places to Work in PA.” The Medical Director provides medical guidance and support to the full spectrum of Capital’s Clinical Utilization Management activities and programs. Supports appropriate Utilization Management...For contractorsFlexible hoursWeekend work
$130 - $140 per hour
...Remote Medical Director - Utilization Management (6-12 month contract, potential for long-term hire!) Must hold MD license in PA, NY or WV. Job Summary Medix is partnering with a premier national health plan to identify an experienced Medical Director for a Utilization...Hourly payContract workRemote workFlexible hours- ...Medix™ is looking for experienced Utilization Management Medical Directors for a remote contract opportunity. This role is ideal for physicians with strong... ...certification, and significant experience in this field, making a direct impact on care quality. #J-18808-Ljbffr...Full timeContract workRemote workFlexible hours
$110.88 - $124.74 per hour
...A community-based healthcare organization is seeking a Medical Director of Utilization Management to oversee and coordinate clinical management, ensuring compliance with regulatory requirements. This role requires at least 3-5 years of health plan experience and a current...Hourly payDaily paidRemote workFlexible hours$150 - $165 per hour
...A healthcare consulting firm is seeking a Medical Director for a four-month engagement starting April 1. This role will provide clinical leadership in utilization management and oversee appeals related to Medicare Advantage and other lines of business. Responsibilities...Hourly payContract work$247.84k
...Appeals Medical Director – Cardiology Location: This role enables associates to work virtually full-time, with the exception of required in... ...state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located...Full timeTemporary workWork experience placementLocal area1 day per week- ...Medical Director – Utilization Management Remote | Full-Time (40 hrs/week) We are partnering with a national health plan organization to identify an experienced Utilization Management Medical Director to support a high-volume, payer-side clinical review operation. This...Full timeContract workImmediate startRemote work
$250k
...Integra Partners is seeking a full-time Utilization Review Medical Director to conduct clinical reviews of Durable Medical Equipment requests. The role requires an MD or DO degree, board certification, and experience in utilization management. Responsibilities include...Full timeRemote work- ...Availity is seeking a Medical Director to lead the Utilization Management team for their Auth AI platform. Responsibilities include overseeing a team, ensuring the accuracy and validation of medical policies, and collaborating with cross-functional teams. Ideal candidates...Remote work
$200k - $270k
...Join to apply for the Associate Medical Director, Cardiology role at Cohere Health . Opportunity Overview We are looking for physicians who have... ...determinations based on evidence‑based criteria while utilizing clinical acumen Clearly and accurately document all communication...Remote workFlexible hours- ...Evolent is seeking an FMD in Radiology to play a crucial role within the utilization management team. The position involves reviewing imaging cases, ensuring compliance with medical necessity guidelines, and providing clinical rationale during peer-to-peer discussions...
$120 per hour
...Direct message the job poster from The Judge Group Medical Director – National Utilization Management Team (One Weekend per Month) Location: Remote (U.S. only; must reside in the U.S.) Pay Rate: $120/hour Start Date: ASAP Schedule: 40 hours per week with rotating weekend...Ongoing contractPermanent employmentFull timeContract workImmediate startRemote work
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