Field Medical Director, Vascular Surgery

Evolent

. Serve as the specialty match reviewer in Vascular cases that do not initially meet applicable medical necessity guidelines .

Posted 11/11/2026part-timeRemote • United StatesLeadWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in Vascular Surgery with a focus on utilization management, clinical review guidelines, and compliance with regulatory standards. Strong communication and organizational skills are essential for effective collaboration with healthcare providers and leadership.

Highest-signal resume keywords

MD/DO/MBBSActive Board Certification In Vascular SurgeryClinical License In MedicineFive Years Experience In Vascular SurgeryComputer Proficiency

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Soft Skills

Strong Clinical SkillsManagement SkillsCommunication SkillsOrganizational Skills

Certifications & Qualifications

Active Board Certification In General Surgery

Industry Keywords

Utilization ManagementMedical Necessity GuidelinesPeer-To-Peer ReviewURAC GuidelinesNCQA Guidelines

About the role

Key responsibilities & impact

Serve as the specialty match reviewer in Vascular cases that do not initially meet applicable medical necessity guidelines
Review other imaging requests when providers, clients, or state laws require specialty reviews by the subject matter expert
Discuss determinations through peer-to-peer phone calls with requesting physicians or ordering providers within regulatory timeframes
Provide clinical rationale for standard and expedited appeals
Utilize medical/clinical review guidelines and parameters to ensure consistency, appropriate utilization, and compliance with SBU policies/procedures, URAC, and NCQA guidelines
Aid and act as a resource to Initial Clinical Reviewers
Ensure timely and accurate documentation of communications with medical office staff and/or physician providers
Participate in ongoing training through the inter-rater reliability process
Assist the Senior Medical Director with research related to utilization management processes, interpretation, guidelines, and/or system support
Function as Medical Director for selected health plans or regions on request, assuming accountability for utilization management with the Senior Medical Director
Routinely interact with leadership, management staff, other physicians, and staff when physician input is needed

Requirements

What you’ll need

MD/DO/MBBS required
Current, unrestricted clinical license in medicine or required specialty required
Obtaining and maintaining medical licenses in the state you reside required
Active Board Certification in Vascular Surgery, or Active Board Certification in General Surgery with extensive experience in Vascular Surgery, required
Strong clinical, management, communication, and organizational skills required
Energetic and curious with a passion for quality and value in health care required
Computer proficiency required
Minimum of five (5) years’ experience in the practice of Vascular Surgery preferred
High-speed internet over 10 Mbps at home
Ability for call center employees to plug directly into the home internet router
Government-issued photo ID submission and identity verification
Comprehensive background check
In-person I-9 verification
May be subject to drug screening prior to employment
AI tools prohibited during interviews
Misrepresentation results in immediate disqualification

Benefits

Comp & perks

Work/life balance
Flexible work arrangements
Autonomy
Comprehensive benefits, including health insurance benefits, for qualifying employees