Field Medical Director, Interventional Cardiology (Remote)

Lensa; Topeka (KS); Remote; USD 100,000 - 125,000; Full time

Job summary

Join a forward-thinking organization as a Field Medical Director in Interventional Cardiology. This remote role allows you to leverage your expertise to improve patient care in a non-clinical setting while enjoying a flexible schedule. Collaborate with a dynamic team to ensure high-value, evidence-based case reviews, and contribute to better health outcomes. With a focus on innovation and continuous improvement, you'll find a supportive environment that values your contributions and promotes work-life balance. If you're passionate about making a meaningful impact in healthcare, this opportunity is for you.

Benefits

Flexible schedule

Work-life balance

Comprehensive health insurance

Qualifications

• MD/DO/MBBS Degree required with current clinical license.
• Active Board Certification in Interventional Cardiology or equivalent.

Responsibilities

• Provide expert reviews for cardiovascular cases.
• Collaborate with leadership and clinical staff on complex cases.

Skills

Interventional Cardiology

Clinical Management

Communication Skills

Organizational Skills

Education

MD/DO/MBBS Degree

Active Board Certification in Interventional Cardiology

Five years’ experience in Cardiology

Tools

High-speed internet

Job description

Field Medical Director, Interventional Cardiology (Remote)

Field Medical Director, Interventional Cardiology (Remote)

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Lensa is the leading career site for job seekers at every stage of their career. Our client, Evolent, is seeking professionals. Apply via Lensa today!

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 get the same level of care and compassion we would want for our loved ones.

Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. 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. That's one reason why diversity and inclusion are core to our business.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing

Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)

Are you ready to make a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better health outcomes in an environment that fosters collaboration, continuous learning, and impactful peer-to-peer discussions.

What We Offer

• A meaningful way to contribute to patient care beyond the clinical setting.
• Opportunities for collaboration with a dynamic team of physicians, leaders, and clinical professionals.
• A role that values innovation, continuous improvement, and clinical excellence.
• This position is 100% Remote and can be completed from any state. Multiple opportunities for a flexible schedule and both part-time and full-time options available.
  
  

What You’ll Do

• Provide expert reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (e.g., cardiac catheterizations, coronary interventions, endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter expert.
• Conduct peer-to-peer discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines.
• Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making.
• Act as a key resource for Initial Clinical Reviewers, offering guidance and expertise to ensure the application of best practices.
• Provides clinical rationale for standard and expedited appeals.
• Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request.
• Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines.
• Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner.
• Participates in on-going training per inter-rater reliability process.
• May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support.
• On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director.
  
  

Qualifications

• MD/DO/MBBS Degree
• Current, unrestricted clinical license in medicine or required specialty
• Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs
• Active Board Certification in Interventional Cardiology or may be substituted for one of the following:
• Active Board Certification in Cardiology and proof of prior board certification in Interventional Cardiology
• Active Board Certification in Cardiology and proof of active practice as an Interventional Cardiologist for 5+ years
• Strong clinical, management, communication, and organizational skills
• Energetic and curious with a passion for quality and value in health care
• Computer Proficiency
• Minimum of five (5) years’ experience in the practice of Cardiology is preferred
• Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an “excluded person” by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare.
• No history of a major disciplinary or legal action by a state medical board
  
  

Technical Requirements

We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations.

Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access the information provided on this website, please contact [e-mail] for further assistance.

The expected base salary/wage range for this position is $120-$135/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts.

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Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  IT Services and IT Consulting

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