FULL-TIME
Posted Sep 26, 2026
Job Description
Transform Oncology Care with Us
At Evolent, we are on a mission to redefine cancer care delivery. As a Medical Oncology Performance Suite Director, you will be at the forefront of advancing innovative value-based care models that focus on clinical excellence, patient-centered outcomes, and a significant system-wide impact. Join us and collaborate with leading clinicians to influence care pathways and drive meaningful change in oncology. If you are committed to creating measurable improvements in oncology, this is your opportunity to lead with purpose.
In this role, you will leverage your oncology expertise while concentrating on value-driven strategies and transformational initiatives. This position goes beyond traditional medical review roles by integrating utilization management with innovative collaboration.
Key Responsibilities
• Clinical Review & Collaboration
• Act as the principal reviewer for oncology cases requiring medical necessity evaluation, utilizing evidence-based guidelines to ensure superior quality and cost-effective care.
• Engage in peer-to-peer discussions with oncologists to not only clarify determinations but also to collaborate in shaping practice patterns focused on value and quality outcomes.
• Support clinical reviewers as an expert resource in oncology.
• Engagement with Practices & Physicians
• Actively join engagement sessions with oncology practices, disseminating best clinical practices and fostering broader adoption of evidence-based care pathways.
• Build trustworthy relationships with oncologists to motivate sustainable behavioral change that enhances patient outcomes.
• Champion practice-level transformation efforts aimed at minimizing unwarranted variations and improving overall quality.
• Strategic Initiatives & Value Development
• Work in tandem with Evolent's clinical leadership on designing and implementing new value initiatives in oncology.
• Contribute ideas for innovative opportunities, clinical algorithms, and care models that facilitate transformation in specialty care.
• Collaborate with operational and analytic teams to measure intervention impacts and uncover areas for ongoing enhancement.
• Engage in audits to confirm accuracy of advance payment model distributions, aligning with clinical documentation, performance indicators, and contract stipulations.
• Compliance & Quality Assurance
• Guarantee all reviews and engagements are compliant with URAC, NCQA, and internal quality benchmarks.
• Document peer interactions and clinical assessments promptly and accurately.
• Participate in training and inter-rater reliability assessments.
At Evolent, we are on a mission to redefine cancer care delivery. As a Medical Oncology Performance Suite Director, you will be at the forefront of advancing innovative value-based care models that focus on clinical excellence, patient-centered outcomes, and a significant system-wide impact. Join us and collaborate with leading clinicians to influence care pathways and drive meaningful change in oncology. If you are committed to creating measurable improvements in oncology, this is your opportunity to lead with purpose.
In this role, you will leverage your oncology expertise while concentrating on value-driven strategies and transformational initiatives. This position goes beyond traditional medical review roles by integrating utilization management with innovative collaboration.
Key Responsibilities
• Clinical Review & Collaboration
• Act as the principal reviewer for oncology cases requiring medical necessity evaluation, utilizing evidence-based guidelines to ensure superior quality and cost-effective care.
• Engage in peer-to-peer discussions with oncologists to not only clarify determinations but also to collaborate in shaping practice patterns focused on value and quality outcomes.
• Support clinical reviewers as an expert resource in oncology.
• Engagement with Practices & Physicians
• Actively join engagement sessions with oncology practices, disseminating best clinical practices and fostering broader adoption of evidence-based care pathways.
• Build trustworthy relationships with oncologists to motivate sustainable behavioral change that enhances patient outcomes.
• Champion practice-level transformation efforts aimed at minimizing unwarranted variations and improving overall quality.
• Strategic Initiatives & Value Development
• Work in tandem with Evolent's clinical leadership on designing and implementing new value initiatives in oncology.
• Contribute ideas for innovative opportunities, clinical algorithms, and care models that facilitate transformation in specialty care.
• Collaborate with operational and analytic teams to measure intervention impacts and uncover areas for ongoing enhancement.
• Engage in audits to confirm accuracy of advance payment model distributions, aligning with clinical documentation, performance indicators, and contract stipulations.
• Compliance & Quality Assurance
• Guarantee all reviews and engagements are compliant with URAC, NCQA, and internal quality benchmarks.
• Document peer interactions and clinical assessments promptly and accurately.
• Participate in training and inter-rater reliability assessments.
Additional Details
- City
- Austin
- State
- Texas
- Country
- US
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