Field Medical Director, Interventional Cardiology

Your Future Evolves Here At Evolent, we collaborate with health plans and providers to enhance outcomes for individuals facing complex and costly health conditions. Our mission spans various specialties and primary care as we strive to connect the fragmented pieces of the healthcare system, ensuring everyone receives the high level of care and compassion that we would want for our loved ones. Our employees benefit from a solid work-life balance, the flexibility to adapt work to their lives, and the autonomy needed to accomplish their tasks. We believe that our team flourishes best when supported to live fulfilling lives, and we welcome everyone to bring their whole selves to work, making diversity and inclusion fundamental to our mission. Join Evolent to embrace our mission and experience our vibrant culture. What You'll Be Doing: Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist. Leverage your expertise in interventional cardiology to profoundly impact patient care beyond the clinical realm. Experience improved work-life balance while contributing to enhanced health outcomes in a collaborative, continuously evolving environment. What We Offer: A meaningful role that directly impacts patient care beyond the clinical setting. Opportunities to collaborate with a dynamic team of physicians, leaders, and clinical professionals. A position that prioritizes innovation, ongoing improvement, and excellence in care. This role is entirely remote and can be performed from any state. We offer flexible scheduling options, including part-time and full-time opportunities. Your Responsibilities: Conduct expert reviews on cardiovascular cases as a specialty-matched reviewer for interventional cardiology situations. Engage in peer-to-peer discussions with treating providers to ensure care aligns with clinical guidelines. Collaborate with leadership and clinical staff on complex cases to enhance decision-making. Serve as a key resource for Initial Clinical Reviewers, guiding them to adopt best practices. Provide clinical rationale for standard and expedited appeals. Discuss determinations with requesting physicians or ordering providers in a timely manner. Utilize clinical review guidelines to maintain consistency in MD review processes, ensuring compliance with policies and accreditation standards. Document all communications with medical office staff and physicians accurately and promptly. Participate in training to uphold inter-rater reliability. Assist in research activities related to the Utilization Management process when needed. As requested, function as Medical Director for specific health plans or regions, aiding in utilization management alongside the Senior Medical Director. Qualifications: MD/DO/MBBS Degree. Current, unrestricted medical license in your specialty. Maintaining medical licenses based on state requirements. Active Board Certification in Interventional Cardiology, or alternatively: Active Board Certification in Cardiology with proof of past certification in Interventional Cardiology. Active Board Certification in Cardiology with evidence of 5+ years of practice as an Interventional Cardiologist. Excellent clinical, management, communication, and organizational skills. An energetic and inquisitive attitude with a passion for quality and value in healthcare. Proficient in computer skills. A minimum of five (5) years' experience in Cardiology is preferred. Not under current sanction or exclusion from any state or federal healthcare programs. No record of major disciplinary or legal actions by medical boards. To ensure a secure hiring process, we will require identity verification steps, including a photo ID. All candidates must complete a background check and may need to undergo drug screening prior to employment. Use of AI tools during interviews is prohibited. Misrepresentation will lead to immediate disqualification. Technical Requirements: Employees must have high-speed internet over 10 Mbps and be able to connect directly to their home internet router for remote work. These requirements may change based on office reopening schedules. Evolent is an equal opportunity employer. We welcome applications from all qualified individuals without regard to race, color, religion, gender, sexual orientation, gender identity, national origin, veteran status, or disability status. If you need reasonable accommodation to access information on our website, please contact us for assistance. The expected salary range for this position is $120-$140/hr, with potential bonuses based on performance factors. Our comprehensive benefits package includes health insurance for qualifying employees, with compensation determined based on required skills and experience. If you don't see the job you desire, please leave your contact information, and we will reach out to you when a suitable position arises!

Created: 2026-03-04