Field Medical Director, Oncology

At Evolent, we’re redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact.

### Core Responsibilities - Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care. - Conduct peer-to-peer discussions with requesting oncologists—not only to explain determinations but to partner in driving practice patterns aligned with value and quality outcomes. - Support clinical reviewers as a subject matter expert and resource. - Actively participate in engagement sessions with oncology practices, sharing best clinical practices and supporting broader adoption of evidence-based pathways. - Foster trusted peer relationships with oncologists to encourage sustainable behavior change that improves patient outcomes. - Support practice-level transformation initiatives that reduce unwarranted variation and enhance quality. - Collaborate with Evolent’s clinical leadership on the design, build, and execution of new value initiatives in oncology. - Provide input on innovation opportunities, clinical algorithms, and models of care that support transformation in specialty care. - Partner with operational and analytic teams to assess the impact of interventions and identify opportunities for continuous improvement. - Participate in audit processes to validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation, performance metrics, and contractual expectations. - Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards. - Document peer interactions and clinical decisions in a timely and accurate manner. - 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’ post-residency experience, with active clinical practice preferred within the past 2 years. - Current, unrestricted medical license (multiple state licenses preferred or willingness to obtain). - Demonstrated leadership in practice transformation, value-based care, or clinical quality improvement. - Strong communication, collaboration, and organizational skills, with proven 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.

### Compensation & Benefits - The expected base salary/wage range for this position is $46,000 – $80,500 USD. - Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees.

Evolent is a health care company that delivers value-based specialty care solutions to payers and providers, focusing on specialties like oncology, cardiology, musculoskeletal, orthopedics, and end-of-life care. It integrates solutions from brands such as New Century Health, NIA, IPG, and Vital Decisions under the Evolent name, with a tagline 'Specializing in Connected Care™'. Founded in 2011 as a pioneer in value-based care, it supports high-risk populations across the United States.