Your Future Evolves Here
Evolent partners with health plans and providers to achieve better outcomes for those facing complex and costly health conditions. Our mission is to bridge the gaps in the fragmented healthcare system, ensuring individuals receive the care and compassion they would want for their loved ones.
At Evolent, we support work/life balance, offering flexibility and autonomy for our employees. We believe that when people are empowered to lead fulfilling lives, they perform at their best. This commitment to diversity and inclusion is at the heart of our organization.
Join Evolent for our mission, and experience a culture that genuinely values you.
What You'll Be Doing:
Leading Change in Oncology Care
As an Oncology Medical Director, you will play a key role in transforming oncology care delivery by advancing value-based care models that emphasize clinical excellence and patient-centered results. This position allows you to collaborate with leading clinicians, influence treatment pathways, and drive innovation in healthcare. If you are passionate about making a tangible difference in oncology, this is your opportunity to lead with purpose.
In this role, you will leverage your oncology expertise with a focus on value-based strategy and transformation. This position moves beyond traditional medical review by integrating utilization management with collaborative engagement and innovation.
Core Responsibilities
• Clinical Review & Peer Collaboration

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

• Engage in peer-to-peer discussions with oncologists to clarify determinations and collaborate in aligning practice patterns with quality outcomes.

• Support clinical reviewers as a subject matter expert and valuable resource.

• Practice & Physician Engagement

• Participate actively in engagement sessions with oncology practices, sharing best practices and advocating for the adoption of evidence-based pathways.

• Build trusted relationships with oncologists to foster sustainable behavior change that enhances patient outcomes.

• Support initiatives aimed at reducing unwarranted variation and improving quality at the practice level.

• Internal Strategy & Value Initiatives

• Work closely with Evolent's clinical leadership to design, build, and execute innovative value-based initiatives in oncology.

• Provide insights on opportunities for innovation, clinical algorithms, and care models that advance transformation in specialty care.

• Collaborate with operational and analytical teams to evaluate the impact of initiatives and uncover continuous improvement opportunities.

• Participate in audit processes to verify the accuracy of advance 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.

• Engage in training and inter-rater reliability processes.

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

• At least five (5) years of relevant experience post-residency, with active clinical practice preferred within the last two years.

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

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

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

• Energetic, curious, and committed to shaping the future of oncology care delivery.

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

To ensure a secure hiring process, we conduct several identity verification steps, including the submission of government-issued photo ID. Comprehensive background checks, in-person I-9 verification, and possible drug screening will be carried out prior to employment. Misrepresentation during this process will result in immediate disqualification from consideration.
Technical Requirements:
All employees are required to have high-speed internet of at least 10 Mbps at their home, with call center employees needing to connect directly to the 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 require reasonable accommodation to access information on this website, please contact our recruiting team for assistance.
The anticipated base salary for this position ranges from $125 to $145 per hour, plus potential sign-on bonuses. Evolent also offers comprehensive benefits to qualifying employees. Compensation decisions are based on the required skills and experience for the role, which may vary for different candidates.
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