Clinical APP Manager, Oncology

Evolent

8d•$160,000 - $174,000•Remote

About The Position

Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture.

Requirements

Active and unrestricted APP licensure required (nurse practitioner or physician assistant)
3+ years clinical experience in medical oncology required
Knowledge of healthcare industry and Utilization Management (UM)
Exceptional communication, presentation, organizational and interpersonal skills
Strong working knowledge of MS Office Suite and ability to quickly learn new software applications
Availability to work 40 hours a week, during normal business hours (Monday-Friday)

Nice To Haves

2+ year(s) supervisory experience Strongly Preferred
1+ year(s) Utilization Management experience
Understanding of various lines of business, including pharmacy benefits and medical benefits

Responsibilities

Management, direct supervision, and coordination of clinical staff performing utilization management reviews, providing expertise in Medical Oncology.
Assists in clinical leadership in the development and on-going management of designated staff.
Performs care management review activities consistent with Evolent policies, procedures, and standards.
Conducts recruitment, interviewing, and selection of properly qualified staff members and ensures appropriate orientation is provided.
Regularly monitors the performance of utilization management staff. Monitors adherence to the efficiency goals for all staff including case volume, case closure rates, average handle time and other metrics.
Supervises utilization management staff through approved audit processes including performing annual reviews and provides counseling and disciplinary action as necessary.
Coordinates quality improvement activities under the direction of clinical management.
Assists management in the development of strategic and operational goals and plans.
Assists management in the identification and coordination of the necessary clinical and client service training needs.
Analyzes specific utilization problems, plans and implements solutions that directly influence quality of care and cost efficiency.
Supervises the collection of pertinent clinical information while maintaining a good rapport and relationship with providers.
Performs other duties as assigned.