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Evolent in Columbus, Ohio is seeking a Performance Suite Medical Director in Medical Oncology to lead the transformation of oncology care. This pivotal role involves advancing value-based care models through collaboration with top-tier clinicians and driving innovation.
The ideal candidate must hold an MD/DO/MBBS with board certification in oncology and have a minimum of five years' experience. A competitive compensation package includes a base salary of $130-$145/hr plus benefits.
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.
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.
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.
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.
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.
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.
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 recruitingteam@evolent.com for further assistance.
The expected base salary/wage range for this position is $130-$145/hr + potential sign‑on bonus. 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.