Field Medical Director, Oncology

About the role

This role focuses on transforming oncology care through value-based strategies. The Medical Director will serve as a physician reviewer for oncology cases that do not meet initial medical necessity criteria, using evidence-based guidelines to ensure high-quality and cost-effective care. A key part of the work involves engaging directly with requesting oncologists to explain determinations and foster practice patterns that align with value and quality outcomes.

The position also involves acting as a subject matter expert for clinical reviewers and actively participating in engagement sessions with oncology practices. This includes sharing best clinical practices and supporting the adoption of evidence-based pathways. The goal is to build trusted peer relationships with oncologists to encourage sustainable behavior changes that improve patient outcomes and reduce unwarranted variation in care.

Success in this role means contributing to the design and execution of new value initiatives in oncology, providing input on innovation opportunities, and collaborating with operational and analytic teams to assess intervention impacts. The Medical Director will also ensure all reviews and engagements meet URAC, NCQA, and internal quality standards, while accurately documenting peer interactions and clinical decisions.

The expected base salary range for this position is between $46,000 and $80,500 USD.

Skills that matter here

• MD/DO/MBBS with board certification in Medical Oncology or Pediatric Oncology: This is a foundational requirement for leading clinical decisions and peer discussions in oncology.
• Minimum five (5) years’ post-residency experience, with active clinical practice preferred within the past 2 years: This ensures the director brings recent, relevant clinical expertise to case reviews and practice engagement.
• Current, unrestricted medical license (multiple state licenses preferred or willingness to obtain): Essential for legally performing medical reviews and engaging with practitioners across different regions.
• Demonstrated leadership in practice transformation, value-based care, or clinical quality improvement: This experience is crucial for driving initiatives that reduce variation and enhance quality in oncology care.
• Strong communication, collaboration, and organizational skills, with proven ability to influence physician behavior: These skills are vital for conducting effective peer-to-peer discussions and fostering behavior change among oncologists.

Who this role suits

• A medical professional with recent clinical experience in oncology.
• Someone who thrives in a role focused on influencing physician behavior and driving practice transformation.
• An individual passionate about shaping future oncology care delivery through value-based models.
• A detail-oriented person who can ensure compliance with quality standards and accurate documentation.

From the employer

Core 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.

Qualifications

• 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.

Compensation & Benefits

• The expected base salary/wage range for this position is $46,000 – $80,500 USD.
• Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees.