Director of Field Medical Affairs in Pain Management

Your Future Evolves Here At Evolent, we collaborate with health plans and providers to enhance outcomes for individuals facing complex and high-cost health conditions. Our mission spans across various specialties and primary care, aiming to close the gaps within the fragmented healthcare system. We are committed to ensuring everyone receives the compassionate care that we would wish for our own loved ones. Join us at Evolent for a meaningful mission and a culture that truly values work-life balance and diversity. We believe individuals excel when they can bring their authentic selves to work, fostering an environment where all can thrive. What You'll Be Doing: As a Director of Field Medical Affairs focusing on Pain Management, you will play a pivotal role in shaping our utilization management team. This is a unique opportunity to positively influence patient lives while enjoying a supportive and non-clinical work environment that values collaboration and continuous learning. Collaboration Opportunities: Work closely with leadership, management, and other Physicians to provide critical insights when needed. You will also support Initial Clinical Reviewers as a valued resource. Your Responsibilities Will Include: Serve as the Physician Clinical Reviewer for Interventional Pain Management, evaluating cases that do not meet medical necessity guidelines and other specialty requests as necessary. Facilitate peer-to-peer discussions with requesting physicians regarding determinations within the required regulatory timeframe. Apply clinical review guidelines to ensure consistency in the review process, adhering to the organization’s policies as well as URAC and NCQA standards. Provide clinical rationale for standard and expedited appeals, maintaining thorough documentation of all communications. Engage in ongoing training to support the inter-rater reliability process. Act, when requested, as Medical Director for selected health plans or regions, collaborating with the Senior Medical Director on utilization management initiatives. Qualifications - Required and Preferred: MD/DO/MBBS - Required Minimum of five (5) years' experience in the field of Pain Medicine, post-residency - Preferred Unrestricted clinical license in medicine or relevant specialty - Required Ability to maintain medical licenses in your state and any other necessary states - Required Active Board Certification in Pain Management or equivalent, combined with clinical experience in Interventional Pain Management - Required Strong clinical, management, communication, and organizational skills - Required Energetic and inquisitive nature with a commitment to quality healthcare - Required Proficiency in computer skills - Required To ensure a secure hiring process, we have implemented strict identity verification steps, including the submission of a government-issued photo ID, during interviews. Final interviews may require in-person attendance. A comprehensive background check and drug screening may be necessary prior to employment. The use of artificial intelligence tools during interviews is strictly prohibited. Technical Requirements: All employees are required to have high-speed internet access above 10 Mbps. Call center employees must be able to connect directly to a home internet router. These requirements may change based on the reopening of our physical office locations. Evolent is proud to be an equal opportunity employer. We consider all applicants equally 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 us for assistance. The expected base salary for this position is $105-110 per hour, with an additional performance-based bonus component. Evolent offers a comprehensive benefits package, including health insurance coverage, to qualifying employees. Compensation for this role will be determined based on the necessary skills and experience required, which may vary among selected individuals. If you don't see your dream job here, submit your contact information and resume to be considered for future opportunities!

Created: 2026-03-04