Medical Director - Radiation Oncology – Evicore - Remote
Core
Deliver evidence-based medical reviews for radiation oncology cases to support high-quality patient care and medical necessity decisions.
Role type
Senior clinical reviewer (Radiation Oncology)
Builds
Evidence-based medical necessity decisions for patient care
Domain
Healthcare / Radiation Oncology / Utilization Review
Required skills
Radiation Oncology clinical expertise, Evidence-based medicine judgment, Physician consultation (peer-to-peer), Regulatory standards knowledge, Clinical judgment
Preferred skills
Utilization Review Accreditation Commission standards, National Committee for Quality Assurance standards
Technologies
Case management software, Encrypted workstation, Cable broadband/fiber optic internet
Responsibilities
Review time-sensitive specialized evidence-based medical cases for medical necessity, Conduct physician consultation calls with referring providers, Recommend alternative services or treatments based on clinical expertise, Collaborate with physician colleagues to ensure proper care
Seniority
Senior, hands-on IC