Your Future Evolves Here
Evolent collaborates with health plans and providers to improve outcomes for individuals with complex and costly health conditions. We strive for a seamless healthcare experience across specialties and primary care, ensuring people receive the same quality of care and compassion we would wish for our loved ones.
At Evolent, we prioritize work/life balance, offering the flexibility to tailor work to personal lives and the autonomy to accomplish tasks effectively. We believe that individuals perform at their best when supported to lead fulfilling lives and feel welcome to be their authentic selves at work. This commitment to diversity and inclusion is a fundamental aspect of our business.
Join Evolent for the mission, and stay for the culture.
What You'll Be Doing:
Lead the Transformation in Oncology Care
At Evolent, we're revolutionizing oncology care delivery. As a Performance Suite Medical Director in Medical Oncology, you will have a crucial role in advancing value-based care models focusing on clinical excellence and patient-centered outcomes. This position provides an opportunity to collaborate with top clinicians, shape care pathways, and drive innovation in critical healthcare areas. If you are committed to making a significant impact in oncology, this is your opportunity to lead with purpose.
In this role, you will blend your clinical oncology expertise with a focus on value-based strategy and transformation. Unlike standard medical review roles centered on volume, this position integrates utilization management with collaborative engagement and innovative practices.
Core Responsibilities
• Clinical Review & Peer Collaboration

• Act as the physician reviewer for oncology cases that initially do not meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality, cost-effective care.

• Engage in peer-to-peer discussions with requesting oncologists to explain determinations and collaborate on aligning practice patterns with value and quality outcomes.

• Provide support to clinical reviewers as a subject matter expert and a valuable resource.

• Practice & Physician Engagement

• Proactively participate in engagement sessions with oncology practices, sharing best clinical practices and promoting the broader adoption of evidence-based pathways.

• Build trusted peer relationships with oncologists to foster sustainable behavior change that improves patient care.

• Support practice-level transformation initiatives that minimize unwarranted variation and enhance quality.

• Internal Strategy & Value Initiatives

• Work closely with Evolent’s clinical leadership on the design, development, and execution of new value initiatives in oncology.

• Provide input on innovation opportunities, clinical algorithms, and models of care that facilitate transformation in specialty care.

• Collaborate with operational and analytic teams to assess the impact of interventions and identify ways for ongoing improvement.

• Engage in audit processes to verify the accuracy of advanced payment model payouts, ensuring alignment with clinical documentation and performance metrics.

• Compliance & Quality

• Ensure all reviews and engagements comply with URAC, NCQA, and internal quality standards.

• Document peer interactions and clinical decisions accurately and promptly.

• Participate in training and inter-rater reliability processes.

Qualifications
• MD/DO/MBBS with board certification in Medical Oncology or Pediatric Oncology.

• Minimum five (5) years of post-residency experience, with active clinical practice preferred within the past two years.

• Current, unrestricted medical license (multiple state licenses preferred or a willingness to obtain).

• Proven leadership in practice transformation, value-based care, or clinical quality improvement.

• Excellent communication, collaboration, and organizational skills, with a strong ability to influence physician behavior.

• Energetic, curious, and passionate about shaping the future of oncology care delivery.

• Not under sanction or exclusion from Medicare/Medicaid programs.

To ensure a secure hiring process, we have implemented several identity verification steps, including submitting a government-issued photo ID. Identity verification occurs during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening before employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration.
Technical Requirements:
All employees must have high-speed internet (over 10 Mbps) at home; call center employees must connect directly to their home internet router.
Evolent is an equal opportunity employer, considering all qualified applicants 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 this information, please contact recruitingteam@evolent.com for assistance.
The expected base salary for this position ranges from $130 to $145 per hour, plus potential sign-on bonus. Evolent offers comprehensive benefits, including health insurance, to qualifying employees as part of our total compensation package. All compensation decisions are based on the skills and experience required for the position and will vary according to the selected individual's experience.
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