- Evolent (Springfield, IL)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology , Field Medical Director you will be a key member of the ... Doing:** + Serve as the specialty match reviewer in Cardiology cases, that do not initially meet the applicable...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Springfield, IL)
- …Stay for the culture. **What You'll Be Doing:** Evolent is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in ... Degree** with active **ABIM** **Board Certification in Cardiology ** (with Cardiology training and clinical experience). + **Unrestricted medical license** in… more
- Evolent (Springfield, IL)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... cardiology to help ensure the delivery of high-value, evidence-based...per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to… more
- Evolent (Springfield, IL)
- …**What You'll Be Doing:** Seeking a detail-oriented **Clinical Rules Management, Associate Director ** who will play a critical role in ensuring the accuracy and ... Medicine, Genetic Testing, Pain Medicine, Sleep Study, Radiation Oncology, Cardiology , and any new specialty taken on by the...system. + Clinical knowledge or previous experience in a medical environment is a big plus + Prior experience… more
- Evolent (Springfield, IL)
- …all lines of business, particularly in complex conditions such as oncology and cardiology . We are advocates for creating patient value and demonstrate this by ... as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to solve… more
- Evolent (Springfield, IL)
- …Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . + Appropriately identifies potential ... and write clearly. + Reviews adverse determinations against criteria and medical policies + Creates adverse determination notifications that meet all accreditation,… more