Director of Oncology Medical Affairs Excellence

Your Future Evolves Here Evolent collaborates with health plans and providers to enhance health outcomes for individuals facing the most complex and costly health challenges. Our mission is to weave together the fragments of a disjointed healthcare system, ensuring every individual is treated with the same care and compassion we wish for our loved ones. At Evolent, we prioritize work-life balance, flexible schedules, and the autonomy that allows our employees to flourish. We believe that our best performance comes from individuals who are supported in living their best lives and feel empowered to bring their whole selves to work. This commitment to diversity and inclusion is at the heart of our mission. Join Evolent for the mission, and stay for the culture. What You'll Be Doing: Lead the Charge in Transforming Oncology Care As the Director of Oncology Medical Affairs, you will play a vital role in pioneering value-based care approaches that emphasize clinical excellence and patient-centered outcomes. You will work alongside esteemed clinicians to shape care pathways and drive innovation in oncology. If you are dedicated to making a significant impact in this field, this is your chance to lead with purpose. In this role, you will combine your deep oncology expertise with a focus on value-based strategy and transformation. This position goes beyond traditional medical review duties, integrating utilization management with collaborative engagement and innovation. Core Responsibilities Clinical Review & Peer Collaboration Serve as the physician reviewer for oncology cases that do not meet initial medical necessity criteria, utilizing evidence-based guidelines to guarantee high-quality, cost-effective care. Engage in peer-to-peer discussions with oncologists to clarify determinations and collaborate on practice patterns that enhance value and quality outcomes. Act as a subject matter expert and resource for clinical reviewers. Practice & Physician Engagement Connect with oncology practices to share best practices that foster the adoption of evidence-based treatment pathways. Develop trusted relationships with oncologists to promote sustainable changes in behavior that improve patient outcomes. Drive practice-level initiatives that reduce unwarranted variations and elevate quality. Internal Strategy & Value Initiatives Collaborate with clinical leadership to design, implement, and evaluate new value initiatives in oncology. Contribute to opportunities for innovation and models of care that support the transformation of specialty care. Work alongside operational and analytics teams to assess the impact of interventions and identify continuous improvement areas. Participate in audits to ensure accuracy of advance payment model payouts, aligning with clinical documentation and performance metrics. Compliance & Quality Ensure all reviews adhere to URAC, NCQA, and internal quality standards. Document peer interactions and clinical decisions promptly and accurately. Engage in training and reliability processes. Qualifications MD/DO/MBBS with board certification in Medical Oncology or Pediatric Oncology. Minimum of five (5) years of post-residency experience; recent active clinical practice preferred. Current, unrestricted medical license (multiple state licenses preferred or a willingness to obtain them). Proven leadership in practice transformation, value-based care, or clinical quality improvement. Outstanding communication, collaboration, and organizational abilities, with a track record of influencing physician behavior. Dynamic, 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. Any misrepresentation will result in immediate disqualification. Technical Requirements: All employees are required to have high-speed internet of over 10 Mbps and, specifically for call center employees, must be able to connect directly to the home internet router. These technical requirements may 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 also includes eligibility for a performance-based bonus component. 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, please leave your contact information and resume with us, and we will reach out if the ideal opportunity becomes available!

Created: 2026-03-10