Field Medical Director, Oncology

Evolent

1d•Remote

About The Position

Lead the Transformation in Oncology Care At Evolent, we’re redefining how care is delivered for individuals facing cancer. As a Performance Suite Medical Director in Medical Oncology, you will play a pivotal role in advancing value-based care models that prioritize clinical excellence, patient-centered outcomes, and system-wide impact. This role offers the opportunity to collaborate with top-tier clinicians, influence care pathways, and drive innovation in one of the most critical areas of health care. If you're passionate about making a measurable difference in oncology, this is your platform to lead with purpose. In this role, you will combine your clinical oncology expertise with a focus on value-based strategy and transformation. Unlike traditional medical review roles that emphasize volume throughput, this position integrates utilization management with collaborative engagement and innovation.

Requirements

MD/DO/MBBS with board certification in Medical Oncology or Pediatric Oncology.
Minimum five (5) years’ post-residency experience, with active clinical practice preferred within the past 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.
Strong communication, collaboration, and organizational skills, with 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.
High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router.

Responsibilities

Serve as the physician reviewer for oncology cases that do not initially meet medical necessity criteria, applying evidence-based guidelines to ensure high-quality and cost-effective care.
Conduct peer-to-peer discussions with requesting oncologists—not only to explain determinations but to partner in driving practice patterns aligned with value and quality outcomes.
Support clinical reviewers as a subject matter expert and resource.
Actively participate in engagement sessions with oncology practices, sharing best clinical practices and supporting broader adoption of evidence-based pathways.
Foster trusted peer relationships with oncologists to encourage sustainable behavior change that improves patient outcomes.
Support practice-level transformation initiatives that reduce unwarranted variation and enhance quality.
Collaborate with Evolent’s clinical leadership on the design, build, and execution of new value initiatives in oncology.
Provide input on innovation opportunities, clinical algorithms, and models of care that support transformation in specialty care.
Partner with operational and analytic teams to assess the impact of interventions and identify opportunities for continuous improvement.
Participate in audit processes to validate accuracy of advance payment model payouts, ensuring alignment with clinical documentation, performance metrics, and contractual expectations.
Ensure all reviews and engagements align with URAC, NCQA, and internal quality standards.
Document peer interactions and clinical decisions in a timely and accurate manner.
Participate in training and inter-rater reliability processes.