Field Medical Director, UM Physical Medicine

Evolent Health; United States; Remote; USD 100,000 - 125,000; Full time

Job summary

Join a leading healthcare organization as a Field Medical Director, where you will collaborate with a clinical team to improve health outcomes. This role involves managing healthcare delivery, participating in quality improvement initiatives, and ensuring effective care management for assigned populations. The ideal candidate will possess strong leadership and communication skills, along with a commitment to ongoing professional development.

Benefits

Comprehensive benefits

Performance-based bonuses

Qualifications

• 3-5 years of clinical practice in primary care and medical administrative experience preferred.

Responsibilities

• Support pre-admission review, utilization management, and review processes.
• Provide leadership in population health management and clinical program development.
• Promote evidence-based care practices.

Skills

Leadership

Communication

Education

MD or DO degree

Job description

Your Future Evolves Here

Evolent partners with health plans and providers to improve outcomes for people with complex and costly health conditions. We aim to connect fragmented healthcare systems across specialties and primary care, ensuring individuals receive the same level of care and compassion we would want for our loved ones.

Our employees enjoy work/life balance, flexibility, and autonomy to achieve their best. We foster a culture of diversity and inclusion, believing that supporting our people to live their best lives enhances their work.

Join Evolent for the mission. Stay for the culture.

What You’ll Be Doing:

Our Mission

Evolent Health is committed to transforming healthcare delivery to improve the nation's health. We embrace innovation, challenge ourselves, and celebrate individual talents and team successes. We foster a fun, hardworking environment where team members can make a difference, whether in scrubs or jeans.

Who You Will Be Working With:

You will join the clinical team as a Field Medical Director, collaborating with clinicians, physicians, pharmacists, health economists, and program coordinators to positively impact our members’ lives.

Key Responsibilities:

• Support pre-admission review, utilization management, and review processes.
• Participate in risk management, claim adjudication, pharmacy utilization, case review, and outreach programs.
• Assist with executing benchmarking programs and clinical quality improvement initiatives.
• Contribute to the Appeals and Grievance processes to ensure timely, accurate responses.
• Help design and implement health plan policies and care management goals.
• Provide leadership in population health management and clinical program development.
• Ensure appropriate healthcare delivery and manage medical costs for assigned populations.
• Promote evidence-based care practices and participate in relevant committees.

Required Experience:

• Board certification in an ABMS medical specialty.
• MD or DO degree from an accredited medical school, with an active, unrestricted medical license.
• 3-5 years of clinical practice in primary care and medical administrative experience preferred.

Preferred Qualifications:

• Proven leadership with clinical credibility and teamwork skills.
• Deep understanding of managed care concepts such as HMOs, risk arrangements, and patient-centered medical homes.
• Excellent communication skills.
• Commitment to ongoing education and professional development.
• Ability to operate effectively within a corporate matrix environment.

Additional Information:

Evolent is an Equal Opportunity Employer. We require all employees to have high-speed internet (>10 Mbps) at home; call center employees must be able to connect directly to their home router. For accommodations or questions, contact [e-mail].

The base salary range for this position is $100,000 to $125,000, with eligibility for performance-based bonuses and comprehensive benefits. Salary offers depend on experience and qualifications.