Director of Oncology Medical Affairs

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with the most complex and costly health conditions. We aim to connect the pieces of a fragmented healthcare system, ensuring everyone receives the same level of care and compassion we desire for our loved ones. At Evolent, employees enjoy work-life balance, flexible scheduling, and the autonomy necessary to thrive. We believe individuals perform best when supported in living their best lives and feel welcome to bring their entire selves to work, which is why diversity and inclusion are integral to our mission. Join Evolent for the mission, stay for the culture. What You'll Be Doing: Lead the Charge in Transforming Oncology Care As a Director of Oncology Medical Affairs, you will have a crucial role in advancing value-based care models that prioritize clinical excellence and patient-centered outcomes. Collaborate with leading clinicians to influence care pathways and drive innovation in this vital area of healthcare. If you are passionate about making a significant difference in oncology, this role is your opportunity to lead with purpose. In this position, you will merge your clinical oncology expertise with a focus on value-based strategy and transformation. Unlike traditional medical review roles, this role integrates utilization management with collaborative engagement and innovation. Core Responsibilities Clinical Review & Peer Collaboration Act as the physician reviewer for oncology cases not meeting initial medical necessity criteria, employing evidence-based guidelines to ensure high-quality, cost-effective care. Conduct peer-to-peer discussions with oncologists to explain determinations and collaborate on practice patterns that drive value and quality outcomes. Support clinical reviewers as a subject matter expert and resource. Practice & Physician Engagement Engage with oncology practices, sharing best practices to promote the adoption of evidence-based pathways. Build trusted relationships with oncologists to encourage sustainable behavior change that improves patient outcomes. Support practice-level initiatives that minimize unwarranted variation and enhance quality. Internal Strategy & Value Initiatives Collaborate with clinical leadership to design, build, and execute new value initiatives in oncology. Contribute to innovation opportunities and models of care that support specialty care transformation. Work with operational and analytic teams to evaluate the impact of interventions and identify areas for continuous improvement. Participate in audits to ensure the accuracy of advance payment model payouts, aligning with clinical documentation and performance metrics. Compliance & Quality Ensure all reviews comply with URAC, NCQA, and internal quality standards. Document peer interactions and clinical decisions accurately and promptly. Participate in training and reliability processes. Qualifications MD/DO/MBBS with board certification in Medical Oncology or Pediatric Oncology. At least five (5) years of post-residency experience, with active clinical practice preferred within the last 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. Exceptional communication, collaboration, and organizational skills, with a 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. To ensure a secure hiring process, we have implemented several identity verification steps, including submission of a government-issued photo ID during interviews. Candidates may also undergo a comprehensive background check, in-person verification, and drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification. Technical Requirements: We require all employees to have high-speed internet of over 10 Mbps and, specifically for call center employees, the ability to plug in directly to the home internet router. These technical requirements are subject to change with any scheduled reopening of office locations. 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 need reasonable accommodation to access information on this website, please reach out to us for assistance. The expected base salary/wage range for this position is $130-$145/hr plus a potential sign-on bonus. This position is also eligible for a bonus component based on pre-defined performance factors. Evolent offers comprehensive benefits, including health insurance, to qualifying employees. Compensation determinations are based on required skills and experience and may vary for selected individuals. If you don't see your dream job here, feel free to leave your contact information and resume with us, and we will reach out if the perfect fit becomes available!

Created: 2026-03-10