Medical Director jobs at MaineGeneral Health - 80 jobs

Advanced Practice Provider - Neurosurgery and Spine MaineHealth - Neurosurgery and Spine Portland, ME Full-time MaineHealth - Neurosurgery & Spine is recruiting for an experienced Physician Assistant (PA) with the ability to see both adult and pediatric patient populations to practice at Maine Medical Center in Portland, ME. This is an opportunity to join our well respected team in the Neurosurgery group supporting 12 Surgeons and working alongside 15 Advance Practice Providers (APPs) providing surgical, emergency, and in-patient care and services including ER consultations, hospital admissions, first assisting on Neurosurgical cases, and medical management of in-patients with daily rounds. These are 12 hour day shifts averaging 32-36 hours per week which includes an average of 1 night/weekend shift per week. This position offers: Competitive compensation package including sign-on bonus and relocation assistance to qualified candidates, CME expense reimbursement, and malpractice insurance. Benefits include Paid Time Off, CME time, retirement options with employer contributions, medical, dental, vision, life/disability coverage, and more. Primary inpatient responsibilities are at Maine Medical Center, the state's leading tertiary care hospital and Level 1 Trauma Center. Minimum Qualifications: Bachelor's Degree required; Master's Degree preferred Successful completion of accredited Physician Assistant Current license issued by the State of Maine or eligible for licensure Current BLS certification To learn more, please click Physician Assistant or Nurse Practitioner - Neurosurgery or visit MaineHealth Career Site. Contact: Donna Lafean, Provider Recruiter, MaineHealth at ****************************. MaineHealth Neurosurgery & Spine is part of the Neuroscience Institute at Maine Medical Center, a regional center of excellence in neurosciences and one of the largest in New England. Our practice is an integral component of the Institute which focuses on three major areas: clinical/patient care, medical education and research, in order to provide the residents of Maine and New England state-of-the-art care. Additional Information MaineHealth is a not-for-profit integrated health system whose vision is, “Working together so our communities are the healthiest in America.” MaineHealth consists of nine local health systems, a comprehensive behavioral health care network, diagnostic services, home health agencies, and 1,700 employed clinicians working together through the MaineHealth Medical Group. With approximately 22,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. MaineHealth offers a Total Rewards package that includes comprehensive and competitive benefits, along with programs and resources to meet the diverse needs of our workforce. To learn more about our system please visit ******************* and our benefits page. #J-18808-Ljbffr

Back In Motion PT, an Alliance Physical Therapy Partner, is looking for a Clinic Director/Physical Therapist to join our team! * NOW OFFERING TUITION REIMBURSEMENT OR A SIGN-ON BONUS* Why we are world-class: Competitive pay and Individual Bonus Plan Exceptional benefits package, including 401K, medical, dental, vision and PTO Clinical Leadership Pathway (CORE) Unlimited Continuing Education budget, including MedBridge subscription Formal and customized Mentorship Program Proprietary AGILE EMR, built by Physical Therapists What's so great about this place? Alliance Physical Therapy Partners (APTP) welcomes you to become part of a growing team led by clinicians. A place where integrity, respect, humility and honesty define our partnerships. You'll be offered a multitude of benefits and incentives to take care of you and your loved ones, with plenty of paid time off for life, vacations, and rest. We pride ourselves on leading the industry in rewarding your exceptional work, personally, professionally, and financially. Summary: The Clinic Director is responsible for the management of the physical therapy clinic, overall patient and employee satisfaction, as well as the evaluation and treatment of patients. This includes effective clinical operations, clinic growth and staff development. The Clinic Director oversees all clinic staff and coordinates staff scheduling and management to optimize the operation of the clinic in accordance with standards set by Alliance PT. They will develop relationships with referring physicians and potential referring physicians to sustain and develop referral sources. Success will be measured not only by meeting revenue, profit, growth and compliance goals, but also by relationships built with the staff, patients, and referral sources, as well as the clinical training and development of staff. Essential Duties and Responsibilities: Performs high quality daily patient therapy including evaluations, plan of care development, treatment, and discharge. Ensures appropriate documentation is complete. While providing patient care as a therapist, the Clinic Director assumes responsibility and accountability for the planning, provision and coordination of all aspects of direct patient care in the clinic according to the established policies and procedures. Manage and drive Key Performance Indicators such as units per hour, units per visit, patient visits per case, cancellations, referrals, and trends in patient billing per individual clinician. Directs patient care including evaluation, assessment and planning, to insure proper case management. Provides therapy to patients using manual therapy, modalities, exercise instruction, functional progressions, etc., maintaining the highest standards of quality and efficiency. Identifies staff development opportunities and facilitates learning and development to advance clinical skills. Ensure daily treatments notes for all patients are complete prior to end of day. Ensure billing amounts on daily notes match treatment time and that all units of treatment are accounted for. Ensure billing is accurate and complete prior to signing off on the daily note in accordance with Alliance's policy, state practice act and federal regulations, including but not limited to HIPAA, Medicare and Medicaid. Assists in development and implementation of clinical policies and procedures regarding patient care and compliance policies. Assures necessary equipment is available and in clean and safe working order. Monitor all patient discharges in alignment with Alliance PT standards of care. Participate in annual budget establishment and achievement through ongoing assessment of clinic needs and course correction when necessary. Participates in chart reviews to ensure staff compliance in chart completion and accuracy. Directly supervises therapists and other clinical staff within the office. Recruits, selects and retains clinical and support staff. Practices sound employee management techniques in accordance with the company procedures, the employee handbook and existing state, federal and other employment laws. Utilizes other corporate resources in situations where uncertainty exists in potentially problematic employee relations or other management issues. Consistently communicates with staff through staff meetings, staff reviews, and informal open-door practices. Provides constructive feedback and coaching and manages staff performance issues proactively. Assures compliance with Federal / Medicare guidelines and company compliance policies. Manages the staffing schedule of the clinic, approves timecards, PTO requests and maintains an appropriate staff mix and coverage levels. Develops and implements a systematic marketing plan which includes making sales calls to physicians, nurses, clinicians and other potential referral sources. Secures solid relationships and referral sources within the area. Provides educational marketing programs for referral sources, area businesses, and the general community. Attend networking events with marketing support staff and physicians. Analyzes patient satisfaction survey feedback to understand how to improve services. Communicates with referral sources by providing regular feedback regarding patient progress. This list of duties is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that senior management may deem necessary. Qualifications: Master's or Doctorate degree in Physical Therapy. Current Physical Therapist license, registration and/or certification as per state regulations. Previous supervisory experience preferred. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is frequently required to stand; walk; sit; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds and occasionally lift and/or move more than 100 pounds. What is in it for me? Join a team that puts its people first and truly cares about YOU. We offer a culture that is 100% invested in your growth and success. You'll become a partner where you can fulfill your passion and provide world-class patient care. Why Alliance? We encourage and support life-long learning through mentorship, unlimited continuing education, and formal leadership training. You'll be part of a growing company with many opportunities to advance your career when the time is right for you.

Back in Motion PT, an Alliance Physical Therapy Partner, is looking for a Physical Therapist OR Clinic Director to join our team! * $20,000 SIGN-ON BONUS* Why we are world-class: Competitive pay and Individual Bonus Plan Exceptional benefits package, including 401K, medical, dental, vision and PTO Clinical Leadership Pathway (CORE) Unlimited Continuing Education budget, including MedBridge subscription Formal and customized Mentorship Program Proprietary AGILE EMR, built by Physical Therapists What's so great about this place? Alliance Physical Therapy Partners (APTP) welcomes you to become part of a growing team led by clinicians. A place where integrity, respect, humility and honesty define our partnerships. You'll be offered a multitude of benefits and incentives to take care of you and your loved ones, with plenty of paid time off for life, vacations, and rest. We pride ourselves on leading the industry in rewarding your exceptional work, personally, professionally, and financially. Summary: Responsible for the planning, provision, and coordination of all aspects of direct patient care in accordance with established clinic and departmental policies and procedures, maintaining the highest degree of quality care in a safe environment. The therapist works collaboratively with other patient team personnel in maintaining standards of professional physical therapy practice. The staff therapist, using independent judgment, assumes responsibility and accountability for the delivery of physical therapy services provided by Physical Therapist Assistants and Rehab Techs/Aides. May be assigned to orient staff and students and assume the duties and responsibilities of the Clinic Director in the absence of that individual. Essential Duties and Responsibilities: Provides high quality patient care and assessment in accordance with established practice standards and clinic/departmental policies in a safe environment. Performs patient evaluation, summarizes objective clinical findings, and develops an accurate individualized plan of care.Ensures that goals are feasible, based upon findings and patient expectations. Provides treatment in accordance with physician's orders and established plan of care. Evaluates effectiveness of treatment plan and revises plan of care as indicated. Communicates/collaborates with patient, family, caregivers, significant other and other members of the healthcare team to promote maximum benefit of care. Communicates/collaborates with the patient's referral source such as the physician, NCM, ADJ, etc. regarding the patient's care and progress to promote maximum benefit of care. Assess educational needs of the patient, family, caregiver, or significant other and other members of healthcare team to promote maximum benefit of care. Demonstrates appropriate knowledge and correct application of clinical techniques, procedures and programs for clinical setting and patient/client populations served. Plans and makes appropriate discharge plans. Assesses the risks for safety and implements appropriate precautions. Complies with appropriate and approved security and safety standards. Utilizes appropriate leadership skills in delegating, organizing, and educating coworkers and staff. Participates in and contributes to quality improvement process. Makes effective use of patient schedule and time by achieving various efficiency standards such as skilled units per visit, visits per day, and evaluations plus two-skilled units. Completes timely, competent, and compliant documentation using AgileRPM. Travels to other local clinics as assigned. This list of duties is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that senior management may deem necessary. Qualifications: * Master's or Doctorate degree in Physical Therapy. * Current Physical Therapist license, registration and/or certification as per state regulations. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is frequently required to stand; walk; sit; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds and occasionally lift and/or move more than 100 pounds. What is in it for me? Join a team that puts its people first and truly cares about YOU. We offer a culture that is 100% invested in your growth and success. You'll become a partner where you can fulfill your passion and provide world-class patient care. Why Alliance? We encourage and support life-long learning through mentorship, unlimited continuing education, and formal leadership training. You'll be part of a growing company with many opportunities to advance your career when the time is right for you. #LI-TB1

Back in Motion PT, an Alliance Physical Therapy Partner, is looking for a Clinic Director/Physical Therapist to join our team! * NOW OFFERING TUITION REIMBURSEMENT OR A SIGN-ON BONUS* Why we are world-class: Competitive pay and Individual Bonus Plan Exceptional benefits package, including 401K, medical, dental, vision and PTO Clinical Leadership Pathway (CORE) Unlimited Continuing Education budget, including MedBridge subscription Formal and customized Mentorship Program Proprietary AGILE EMR, built by Physical Therapists What's so great about this place? Alliance Physical Therapy Partners (APTP) welcomes you to become part of a growing team led by clinicians. A place where integrity, respect, humility and honesty define our partnerships. You'll be offered a multitude of benefits and incentives to take care of you and your loved ones, with plenty of paid time off for life, vacations, and rest. We pride ourselves on leading the industry in rewarding your exceptional work, personally, professionally, and financially. Summary: The Clinic Director is responsible for the management of the physical therapy clinic, overall patient and employee satisfaction, as well as the evaluation and treatment of patients. This includes effective clinical operations, clinic growth and staff development. The Clinic Director oversees all clinic staff and coordinates staff scheduling and management to optimize the operation of the clinic in accordance with standards set by Alliance PT. They will develop relationships with referring physicians and potential referring physicians to sustain and develop referral sources. Success will be measured not only by meeting revenue, profit, growth and compliance goals, but also by relationships built with the staff, patients, and referral sources, as well as the clinical training and development of staff. Essential Duties and Responsibilities: Performs high quality daily patient therapy including evaluations, plan of care development, treatment, and discharge. Ensures appropriate documentation is complete. While providing patient care as a therapist, the Clinic Director assumes responsibility and accountability for the planning, provision and coordination of all aspects of direct patient care in the clinic according to the established policies and procedures. Manage and drive Key Performance Indicators such as units per hour, units per visit, patient visits per case, cancellations, referrals, and trends in patient billing per individual clinician. Directs patient care including evaluation, assessment and planning, to insure proper case management. Provides therapy to patients using manual therapy, modalities, exercise instruction, functional progressions, etc., maintaining the highest standards of quality and efficiency. Identifies staff development opportunities and facilitates learning and development to advance clinical skills. Ensure daily treatments notes for all patients are complete prior to end of day. Ensure billing amounts on daily notes match treatment time and that all units of treatment are accounted for. Ensure billing is accurate and complete prior to signing off on the daily note in accordance with Alliance's policy, state practice act and federal regulations, including but not limited to HIPAA, Medicare and Medicaid. Assists in development and implementation of clinical policies and procedures regarding patient care and compliance policies. Assures necessary equipment is available and in clean and safe working order. Monitor all patient discharges in alignment with Alliance PT standards of care. Participate in annual budget establishment and achievement through ongoing assessment of clinic needs and course correction when necessary. Participates in chart reviews to ensure staff compliance in chart completion and accuracy. Directly supervises therapists and other clinical staff within the office. Recruits, selects and retains clinical and support staff. Practices sound employee management techniques in accordance with the company procedures, the employee handbook and existing state, federal and other employment laws. Utilizes other corporate resources in situations where uncertainty exists in potentially problematic employee relations or other management issues. Consistently communicates with staff through staff meetings, staff reviews, and informal open-door practices. Provides constructive feedback and coaching and manages staff performance issues proactively. Assures compliance with Federal / Medicare guidelines and company compliance policies. Manages the staffing schedule of the clinic, approves timecards, PTO requests and maintains an appropriate staff mix and coverage levels. Develops and implements a systematic marketing plan which includes making sales calls to physicians, nurses, clinicians and other potential referral sources. Secures solid relationships and referral sources within the area. Provides educational marketing programs for referral sources, area businesses, and the general community. Attend networking events with marketing support staff and physicians. Analyzes patient satisfaction survey feedback to understand how to improve services. Communicates with referral sources by providing regular feedback regarding patient progress. This list of duties is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that senior management may deem necessary. Qualifications: Master's or Doctorate degree in Physical Therapy. Current Physical Therapist license, registration and/or certification as per state regulations. Previous supervisory experience preferred. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is frequently required to stand; walk; sit; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds and occasionally lift and/or move more than 100 pounds. What is in it for me? Join a team that puts its people first and truly cares about YOU. We offer a culture that is 100% invested in your growth and success. You'll become a partner where you can fulfill your passion and provide world-class patient care. Why Alliance? We encourage and support life-long learning through mentorship, unlimited continuing education, and formal leadership training. You'll be part of a growing company with many opportunities to advance your career when the time is right for you.

Back in Motion PT, an Alliance Physical Therapy Partner, is looking for a Clinic Director/Physical Therapist to join our team! * $5,000 SIGN-ON BONUS OR TUITION REIMBURSEMENT* Why we are world-class: Competitive pay and Individual Bonus Plan Exceptional benefits package, including 401K, medical, dental, vision and PTO Clinical Leadership Pathway (CORE) Unlimited Continuing Education budget, including MedBridge subscription Formal and customized Mentorship Program Proprietary AGILE EMR, built by Physical Therapists What's so great about this place? Alliance Physical Therapy Partners (APTP) welcomes you to become part of a growing team led by clinicians. A place where integrity, respect, humility and honesty define our partnerships. You'll be offered a multitude of benefits and incentives to take care of you and your loved ones, with plenty of paid time off for life, vacations, and rest. We pride ourselves on leading the industry in rewarding your exceptional work, personally, professionally, and financially. Summary: The Clinic Director is responsible for the management of the physical therapy clinic, overall patient and employee satisfaction, as well as the evaluation and treatment of patients. This includes effective clinical operations, clinic growth and staff development. The Clinic Director oversees all clinic staff and coordinates staff scheduling and management to optimize the operation of the clinic in accordance with standards set by Alliance PT. They will develop relationships with referring physicians and potential referring physicians to sustain and develop referral sources. Success will be measured not only by meeting revenue, profit, growth and compliance goals, but also by relationships built with the staff, patients, and referral sources, as well as the clinical training and development of staff. Essential Duties and Responsibilities: Performs high quality daily patient therapy including evaluations, plan of care development, treatment, and discharge. Ensures appropriate documentation is complete. While providing patient care as a therapist, the Clinic Director assumes responsibility and accountability for the planning, provision and coordination of all aspects of direct patient care in the clinic according to the established policies and procedures. Manage and drive Key Performance Indicators such as units per hour, units per visit, patient visits per case, cancellations, referrals, and trends in patient billing per individual clinician. Directs patient care including evaluation, assessment and planning, to insure proper case management. Provides therapy to patients using manual therapy, modalities, exercise instruction, functional progressions, etc., maintaining the highest standards of quality and efficiency. Identifies staff development opportunities and facilitates learning and development to advance clinical skills. Ensure daily treatments notes for all patients are complete prior to end of day. Ensure billing amounts on daily notes match treatment time and that all units of treatment are accounted for. Ensure billing is accurate and complete prior to signing off on the daily note in accordance with Alliance's policy, state practice act and federal regulations, including but not limited to HIPAA, Medicare and Medicaid. Assists in development and implementation of clinical policies and procedures regarding patient care and compliance policies. Assures necessary equipment is available and in clean and safe working order. Monitor all patient discharges in alignment with Alliance PT standards of care. Participate in annual budget establishment and achievement through ongoing assessment of clinic needs and course correction when necessary. Participates in chart reviews to ensure staff compliance in chart completion and accuracy. Directly supervises therapists and other clinical staff within the office. Recruits, selects and retains clinical and support staff. Practices sound employee management techniques in accordance with the company procedures, the employee handbook and existing state, federal and other employment laws. Utilizes other corporate resources in situations where uncertainty exists in potentially problematic employee relations or other management issues. Consistently communicates with staff through staff meetings, staff reviews, and informal open-door practices. Provides constructive feedback and coaching and manages staff performance issues proactively. Assures compliance with Federal / Medicare guidelines and company compliance policies. Manages the staffing schedule of the clinic, approves timecards, PTO requests and maintains an appropriate staff mix and coverage levels. Develops and implements a systematic marketing plan which includes making sales calls to physicians, nurses, clinicians and other potential referral sources. Secures solid relationships and referral sources within the area. Provides educational marketing programs for referral sources, area businesses, and the general community. Attend networking events with marketing support staff and physicians. Analyzes patient satisfaction survey feedback to understand how to improve services. Communicates with referral sources by providing regular feedback regarding patient progress. This list of duties is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that senior management may deem necessary. Qualifications: Master's or Doctorate degree in Physical Therapy. Current Physical Therapist license, registration and/or certification as per state regulations. Previous supervisory experience preferred. Physical Demands: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The employee is frequently required to stand; walk; sit; reach with hands and arms; climb or balance and stoop, kneel, crouch, or crawl. The employee must regularly lift and /or move up to 25 pounds and occasionally lift and/or move more than 100 pounds. What is in it for me? Join a team that puts its people first and truly cares about YOU. We offer a culture that is 100% invested in your growth and success. You'll become a partner where you can fulfill your passion and provide world-class patient care. Why Alliance? We encourage and support life-long learning through mentorship, unlimited continuing education, and formal leadership training. You'll be part of a growing company with many opportunities to advance your career when the time is right for you. #APTPSJ

Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Medical Director (MD) provides clinical leadership and direction to the utilization & care management functions of Martin's Point's Health Plans. The MD works collaboratively with other plan functions that interface with Medical Management such as Health Management, Compliance and Appeals, , Network Management, Member Services, benefits & claims management, and Compliance. In this role, there is the opportunity to assist in or drive short and long-range clinical programming, quality management, and external relationships. The Medical Director reports to the Vice President Health Plan Medical Director and works closely with the other Health Plan leaders. Job Description Key Outcomes: Responsible and accountable to the Health Plan Medical Director for helping to manage health plan medical costs by assuring clinically appropriate health care delivery for health plan products and services utilizing Evidence-Based Guidelines to ensure the right service at the right time and place for each member Performs medical necessity reviews of requests for health plan-covered services (benefits). Reviews disputes and appeals of said services for clinical appropriateness and in compliance with government program rules Contributes to case reviews to ensure the quality and safety of care and services delivered to Martin's Point Health Plan members. Assists in the construction of the annual Utilization Management, Care Management, and Disease Management Program Descriptions and works to ensure the programs meet accreditation and regulatory standards (e.g. NCQA, CMS, TRICARE) Participates in medical policy review and policy development. Works with Informatics, Network Management, and Medical Economics to create and maintain a system where Network providers are properly assessed in regard to cost management and develops a plan and schedule for communication and solutioning with outliers. Develops an in-depth understanding of ACOs and contributes to their management and strategic deployment. Provides support to Health Plan risk adjustment activities as needed. Is conversant with Health Plan key performance metrics, in particular utilization and cost management goals, MLR , inpatient days/1000, SNF days/1000, and clinical quality improvement (QI) objectives, including HEDIS and how to drive improvement in these areas Education/Experience: Board certified physician with post-graduate experience in direct patient care required Medical leadership in, or focused activity of, a Health Plan (preferred) Knowledge of process improvement tools Experience in Health Plan utilization management Experience in Medicare Advantage and/or TriCare preferred Required License(s) and/or Certification(s): Active and unrestricted license to practice medicine in Maine or New Hampshire; or another U.S. state with eligibility to apply for and obtain additional state licensure. Current, or ability to have some, active clinical work with patients Skills/Knowledge/Competencies (Behaviors): Deep knowledge and practical understanding of Health Care systems and Managed Care concepts Knowledge and deep commitment to performance-based Health Plan systems Good analytic skills with the ability to identify meaningful trends and targets for improvement Excellent interpersonal skills and demonstrated ability to establish rapport and working relationships with providers, service vendors and internal staff Willingness to explore innovative methods of providing medical management Supports the culture and models the MPHC values This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact ***************************** Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************

**Your Future Evolves Here** 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. **What You'll Be Doing:** **Location focus: Work from home with a mic of travel within Pennsylvania. This person ideally would live in or around Pennsylvania.** **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with the most complex and costly health conditions. Working across specialties and primary care, we connect the pieces of a fragmented health care system to ensure people receive the same level of care and compassion we would want for our loved ones. Join Evolent for the mission. Stay for the culture. **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. **What You'll Be Doing** 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. **Core Responsibilities** + **Team Leadership & Performance Management** + Lead and manage a team of medical oncologists responsible for reviewing oncology cases. + Establish clear performance expectations, monitor quality and efficiency, and provide coaching to support professional growth. + Drive accountability across the team while fostering a culture of collaboration, clinical rigor, and continuous improvement. + **Practice & Physician Engagement** + 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. + **Internal Strategy & Value Initiatives** + 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. + **Compliance & Quality** + 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** . + 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, clinical operations, people management, 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. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $270,000- $340,000 (location specific). This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Part or Full Time Emergency Medicine Physician and LifeFlight of Maine Base Medical Director (MD/DO) Are you an experienced EM physician with a passion for, and experience with EMS or Flight Medicine leadership? Are you interested in joining a dynamic, physician owned and physician led Emergency Medicine group? BlueWater Health is seeking an experienced ABEM Certified Emergency Medicine Physician to work clinically at the 3 Central Maine Healthcare Emergency Departments as well as become a Base Medical Director for LifeFlight of Maine (LFoM). The hospitals in the Central Maine Healthcare system include Central Maine Medical Center in Lewiston, ME, Bridgton Hospital in Bridgton, ME and Rumford Hospital in Rumford, ME. About the Position: Must also be employed by LFoM for 8-12 hours per week for this position. Partnership track Competitive compensation and best in class benefits package (fully covered Family Health, Dental, Disability Insurance) Generous company-direct Health Savings Account (HSA) contributions 401k contributions and guaranteed profit sharing Malpractice insurance Generous CME allowance Part time or full time Full time is 1440 hours with BlueWater Health (LFoM hours are not counted towards this). Maine's only 100% physician owned democratic EM group. About BlueWater Health: BlueWater Health (BWH) is a growing, independent physician-owned medical group practice looking for an experienced and confident professional to join our Emergency Medicine Physician team. BWH employs over 150 providers in 11 facilities (and growing) across 4 states in New England. We are guided by our Mission Statement: To provide exceptional healthcare with thoughtfulness, respect, and compassion. Inspire leadership and innovation to create better hospital-based healthcare solutions. Support individual autonomy, professional growth, and satisfaction BWH operates in a fast-paced, entrepreneurial-driven environment, where everyone contributes to getting the job done. Employees are flexible, realizing that each position, top to bottom, requires cooperative individuals focused on team success. The underlying culture is one of accountability and challenging work, coupled with a fun work environment. Our company's goal is that all positions are structured to clearly define responsibilities and maximize efficiency, yet no individual is above administrative self-sufficiency and lending a helping hand when time allows. About the Hospitals: The BlueWater Health - Central Maine Healthcare team is a group of board-certified Emergency Medicine physicians and Advanced Practice Providers staffing 3 emergency departments with a combined annual census of 65,000. Practice sites include a 200-bed, Level III trauma center and two critical access hospitals. We are seeking a highly-motivated BC/BE emergency medicine physician to join our practice. The ideal candidate will be a proven team leader with strong clinical and procedural skills, able to manage complex patients that span the entire scope of modern emergency medicine in varying clinical environments. Special consideration will be given to fellowship training in critical care, pediatrics, EMS, ultrasound, and palliative care. The emergency medicine team is supported by a large offering of inpatient and specialty services, including adult and pediatric hospitalists, critical care, trauma, general and specialty surgery, OBGYN, and the medical subspecialties. Specific clinical opportunities include working with and teaching medical students, residents, advanced practice providers, local EMS providers, and Life flight of Maine crewmembers. Typical clinical days will include exposure to urban, suburban, and rural/austere pathology. Central Maine Healthcare is a large, not-for-profit regional health system based in the Lewiston/Auburn area of Maine. The System includes the medical center, Bridgton Hospital, and Rumford Hospital, along with a large primary and specialty care outpatient network. About the Central Maine Area: Has both good strong communities, quaint New England towns, easy access to the amenities of Portland as well as rich opportunities for outdoor pursuits making it a wonderful place to live and raise a family. BlueWater Health is an Equal Opportunity Employer

Are you looking for that next great adventure in your career? Are you ready to join a dynamic and growing team as an emergency medicine physician leader in the beautiful state of Maine? If so, we have the perfect position for you! TeamHealth is seeking an emergency medicine (EM) physician with 2+ years of successful leadership experience to join our team in Maine (ME) as a multi-site director of our Northern Light Health facilities. As our multi-site director, you will provide support and leadership to our facilities throughout the state under the direction of our system medical director, and you will have the opportunity to evolve into a regional leadership role. We are now accepting applications from ABEM physicians and FM/IM physicians with current EM leadership experience. Apply today to join our leadership team in Maine! California Applicant Privacy Act: ***************************************************************

The Medical Director, Health Care for the Homeless (HCH) Programs, serves as the executive clinical leader responsible for the strategic direction, operational excellence, and clinical integrity of all four Health Care for the Homeless programs at Greater Portland Health (GPH), including recuperative care services. About the role: Strategic Leadership and Program Oversight - 0.40 FTE Clinical Leadership and Direct Care - 0.40 FTE Quality Improvement and Research - 0.10 FTE Administrative and People Leadership - 0.10 FTE Requirements: MD or DO, NP or PA degree with active, unrestricted Maine medical license (or eligibility for licensure). Board certification (if DO or MD) in Family Medicine, Internal Medicine, or related specialty. Minimum of 5-7 years of progressive leadership experience in community health, homeless health care, or public health systems. Demonstrated success leading multidisciplinary teams and community partnerships. Strong understanding of and commitment trauma-informed care principles. Proven ability to manage complex programs, grants, and cross-sector collaborations. Knowledge of the principles and practice of primary care and preventive medicine. Knowledge of state and federal laws pertaining to medicine and community health centers. Benefits: Organization-wide incentive bonus of up to 5% of annual base salary Health, Dental, Vision Insurance (Employer - Employee shared) Health Savings Accounts with employer contributions ($1,750 and $3,250 per year) Flexible Spending Accounts Employer paid Life insurance, Short-term, and Long-term Disability 403(b) employer match up to 3% Generous PTO package, including paid personal days, holidays and volunteer time off Bereavement and Military Leave Paid Parental Leave (1 week) CME funds; license, certification, and subscription fees reimbursement; along with CME paid time off Non-CME training reimbursement of up to $300 for full-time (32 hour) employees Tuition assistance up to $1,500 for full-time (32 hour) employees Gym Membership and more

This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert. + Other duties as assigned. **EDUCATION** **Required** + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $170,000.00 **Pay Range Maximum:** $352,500.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J272807

This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members **ESSENTIAL RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care. + Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise. + Participate in protocol and guidelines development to ensure consistency in the review process. + Actively manage projects and/or participate on project teams that require a physician subject matter expert. + Other duties as assigned. **EDUCATION** **Required** + Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO) **Substitutions** + None **Preferred** + Master's Degree in Business Administration/Management or Public Health **EXPERIENCE** **Required** + 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** **Required** + Medical Doctor or Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + Collaboration + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25% **PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS** Position Type Office-Based Teaches / trains others regularly Occasionally Travel regularly from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Rarely Lifting: 25 to 50 pounds Rarely **_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._ **_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._ _As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._ _Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._ **Pay Range Minimum:** $170,000.00 **Pay Range Maximum:** $352,500.00 _Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._ Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at ***************************** California Consumer Privacy Act Employees, Contractors, and Applicants Notice Req ID: J270842

Who we are:At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life-saving medication, we help people move beyond addiction to find belonging, love, and purpose. If you're looking to roll up your sleeves and meet hard challenges head-on, then we're looking for you. The role:Our organization is seeking a Medication Associate to join our Central Member Services department / Medication Management Team. This is a full-time position with a rapidly growing company that will be loaded with challenges, excitement, and opportunity. To be successful in this role, you will be able to have very acute attention to detail, thrive in a fast-paced, dynamic environment, and be able to provide excellent customer service. You are excited about our mission and committed to helping people through a sometimes difficult system. Ultimately, you will ensure our members receive their medications in a timely fashion. Schedule: the expected schedule for this role is 12:00pm est to 8:30pm est, Monday-Friday. This position is remote. Candidates must reside in one of the following states: District of Columbia, Florida, Georgia, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, or Connecticut.What you will do: Delivering quality customer service to members, responding to inquiries, questions, or requests, and referring them to the appropriate parties where necessary including inbound/outbound calls, text, and email Coordinate with members, Member Service Associates, medical providers, insurance companies, and pharmacy staff to ensure accurate prescriptions Ability to troubleshoot complex issues with pharmacies and insurance companies to ensure medication is available when needed Review and interpret medication history data from all available sources, including the Prescription Drug Monitoring Program (PDMP) Processing bulk electronic prescriptions and evaluating in the internal system for completeness and accuracy Recording medical histories while maintaining confidentiality and compliance with HIPAA and 42 CFR Part 2 regulations Determine the need for Prior Authorizations and process as required Troubleshoot these issues when necessary You are a good fit if you have: Proven work experience in a pharmacy, medical office, or hospital or similar role A pharmacy technician certification (CPhT) or a licensed practical nurse (LPN) / licensed vocational nurse (LVN) license Familiarity with the medication prescribing life cycle Inbound call experience required It will also be great if you have: Excellent communication skills Strong attention to detail The ability to use a computer and navigate multiple systems simultaneously Necessary math skills for calculating complex medication quantities and durations Extensive customer service experience; comfortability with speaking over the phone, texting, and emailing Experience working in a fast-paced work environment, remote work a plus Must be dependable Ability to work effectively in a close-knit team and independently Work location requirements: BLP operates in hybrid and remote work environments, which allows us to better meet our members and partners where they're located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs. When working from home, the requirements include: Must have reliable internet service with a fast upload/download ability Ability to ensure any protected health or proprietary data/information is not visible (or audible) to others in any work location Must have a quiet space to speak to members, team members, or external partners with minimal background noise and distractions In addition to a competitive compensation package, we're offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose. We're a recovery-friendly workplace that values family life, diversity, equity, and inclusion.

**Your Future Evolves Here** 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. **What You'll Be Doing:** **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. **Core Responsibilities** + **Clinical Review & Peer Collaboration** + 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. + **Practice & Physician Engagement** + 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. + **Internal Strategy & Value Initiatives** + 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. + **Compliance & Quality** + 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** . + 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. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $120-130/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Are you looking for a rewarding career in hospice? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Why Amedisys You will be leading a team where you'll have the opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes. Responsibilities * Function as a consultant to patients, physicians and other members of the interdisciplinary team to assure provision of quality of palliative care including pain and symptoms management as you collaborate with the patients' attending physician. * Assure appropriate evaluation, certification, and recertification of terminal prognosis at the time of admission and at the end of each certification period. * Serve as the physician member of the Professional Advisory Committee. * Conduct educational seminars, in-services and presentations to physicians, nurses, and other health care audiences to improve quality of patient care and promote hospice services and increase access to patients. * Available for in-house or phone consultation for acute patient clinical problems that cannot be resolved through staff, directors and primary or on-call physician and available for consultation or joint visits in hospital or home when indicated. Qualifications * Doctor of medicine or osteopathy degree from an accredited medical school. * Board certification in hospice and palliative care is preferred but not required. Experienced physicians with a passion for working with patients in hospice and palliative care are welcome to apply. * Current and unencumbered license to practice specific to that state you are assigned to work. * Membership in good standing on the medical staff of at least one contracted hospital. * Current CPR certification. * Valid driver's license and reliable transportation and agency required liability insurance to complete home visits. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. * Doctor of medicine or osteopathy degree from an accredited medical school. * Board certification in hospice and palliative care is preferred but not required. Experienced physicians with a passion for working with patients in hospice and palliative care are welcome to apply. * Current and unencumbered license to practice specific to that state you are assigned to work. * Membership in good standing on the medical staff of at least one contracted hospital. * Current CPR certification. * Valid driver's license and reliable transportation and agency required liability insurance to complete home visits. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic. * Function as a consultant to patients, physicians and other members of the interdisciplinary team to assure provision of quality of palliative care including pain and symptoms management as you collaborate with the patients' attending physician. * Assure appropriate evaluation, certification, and recertification of terminal prognosis at the time of admission and at the end of each certification period. * Serve as the physician member of the Professional Advisory Committee. * Conduct educational seminars, in-services and presentations to physicians, nurses, and other health care audiences to improve quality of patient care and promote hospice services and increase access to patients. * Available for in-house or phone consultation for acute patient clinical problems that cannot be resolved through staff, directors and primary or on-call physician and available for consultation or joint visits in hospital or home when indicated.

**Your Future Evolves Here** 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. **What You'll Be Doing:** As a Field Medical Director, Physical Medicine and Rehab you will be a key member of the utilization management team. We can offer you a meaningful way to make a difference in patients lives, in a non-clinical environment. You can enjoy better work- life balance on a team that values collaboration and continuous learning while providing better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff, other Physicians, and staff whenever a physician`s input is needed or required. **What You Will Be Doing:** + Serve as the Physician match reviewer in PM&R cases, that do not initially meet the applicable medical necessity guidelines, as well as other imaging requests when providers, clients, or state laws require specialty reviews to be completed by the subject matter expert. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request and provides clinical rationale for standard and expedited appeals. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + Participates in on-going training per inter-rater reliability process. **Qualifications - Required and Preferred:** + MD/DO/MBBS- **Required** + Minimum of five (5) years' experience in the practice of Medicine, post residency and Active Clinical practice within the last 2 years- **Preferred** + Current, unrestricted clinical license in medicine or required specialty- **Required** + Obtaining and maintaining medical licenses in the state you reside, as well as, any license required per business needs- **Required** + Active Board Certification in Physical Medicine and Rehabilitation- **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** To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $100/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Are you looking for that next great adventure in your career? Are you ready to join a dynamic and growing team as an emergency medicine physician leader in the beautiful state of Maine? If so, we have the perfect position for you! TeamHealth is seeking an emergency medicine (EM) physician with 2+ years of successful leadership experience to join our team in Maine (ME) as a multi-site director of our Northern Light Health facilities. As our multi-site director, you will provide support and leadership to our facilities throughout the state under the direction of our system medical director, and you will have the opportunity to evolve into a regional leadership role. We are now accepting applications from ABEM physicians and FM/IM physicians with current EM leadership experience. Apply today to join our leadership team in Maine! California Applicant Privacy Act: *************************************************************** City Caption Historic communities throughout Maine City Description A community rich in history, Pittsfield is located in central Maine, not far from the coast. Explore the region's history at the Hancock Shaker Village, Berkshire Museum, Herman Melville's Arrowhead and more! When you are enjoying performances at Colonial Theatre and Barrington Stage Company, get outside and take in Maine's beautiful scenery at the many local parks and wildlife areas. Pittsfield is surrounded by many lakes and is just a short drive to the beach and Portland, Maine's largest city. Spend your weekends exploring cities like Boston, Montreal and Quebec! Facility Caption Join us at Northern Light Health! Facility Description Northern Light Sebasticook Valley Hospital offers a wide range of both inpatient and outpatient services, including a Surgical Unit, Medical-Surgical and Special Care Unit, Swing Bed Unit, Women's Health Center, Rehabilitation centers and more than twenty specialty services. A 25-bed critical access hospital Sebasticook Valley Hospital serves a population of approximately 40,000 people in central Maine and is accredited by The Joint Commission. Sebasticook Valley Hospital is a part of Northern Light Health, an integrated health delivery system serving Maine with no-nonsense healthcare solutions that lead to better patient outcomes and healthier communities. Job Benefits - Multi-site medical director stipend - 7 clinical shifts per month - Employed position with an excellent and comprehensive benefits package - Sign-on bonus - Paid professional liability insurance including tail coverage - Stability of working for and with a respected industry leader - Opportunities for growth and leadership to further your career

Part-time Description Provides leadership to the Medical Education Program in developing standards and identifying and implementing appropriate models for educating students consistent with the needs of rural communities. Promotes the development of innovative approaches to expand understanding of the needs of clinicians considering rural practice. Works closely with the Mount Desert Island Hospital's O clinical staff to coordinate rotations and curriculum to maximize out organizations ability to be effective. Serves as the primary liaison with external training programs and organizations facilitating the process to meet the needs of students and assist in meeting their program objectives. Support the development of new programs and rotations that align with the clinical needs of the organization and the medical staff development plan. Benefits: MDI Hospital and Birch Bay Retirement Village offer a competitive salary, robust medical/dental/vision/life insurance, identity theft protection program, matching retirement plan, ample paid time off, a comprehensive award winning wellness program with reimbursement incentives, generous tuition reimbursement, and continuing education benefits. Some positions may qualify for a sign on bonus and relocation assistance. EEO Statement: MDI Hospital and Birch Bay Retirement Village provide equal employment opportunities to all employees and applicants for employment in all job classifications without regard to race, color, religion, age, mental disability, physical disability, medical condition, gender, sexual orientation, genetic information, ancestry, marital status, national origin, veteran status, and other classifications protected by applicable state and local non-discrimination laws. About MDI Hospital Rooted in Community. Inspired by Care. Mount Desert Island Hospital isn't just a place where care is delivered - it's where care begins, where it grows, and where it connects us all. Located in the heart of Bar Harbor, surrounded by the rugged beauty of Acadia National Park, MDI Hospital is deeply woven into the fabric of island life. We're not just serving a community - we are the community. A Place Where You Belong. At MDI Hospital, every team member is more than a healthcare professional - they're a neighbor, a friend, a familiar face in the grocery store or on the hiking trail. We believe that healing happens best when people feel seen, supported, and valued. That's why we foster a workplace where everyone belongs, where voices are heard, and where your contributions truly matter. Small Town Heart, Big Impact. Though we serve a small, close-knit population, our reach is wide and our impact deep. We offer a full spectrum of care - from family medicine and behavioral health to emergency services and specialty care - all grounded in compassion and clinical excellence. Our partnerships with organizations like Penn Medicine and the MDI Biological Laboratory help us bring world-class resources to our rural setting. A Culture of Connection. We believe that wellness is a shared journey. Whether it's through community wellness programs, school-based health initiatives, or simply taking the time to listen, we're here to walk alongside our patients and each other. Our team is collaborative, mission-driven, and always ready to lend a hand - or an ear. Come Grow With Us. Working at MDI Hospital means being part of something bigger than yourself. It means joining a team that values your well-being, supports your growth, and celebrates your unique strengths. Whether you're new to the island or have called it home for years, you'll find a place here - not just to work, but to belong. Requirements Education, Training or Certifications Required: 1. Current Maine DO or MD license. 2. A member in good standing of the Active Medical Staff. 3. ACLS and BLS required. Experience Required: 1. Five years experience in Medicine preferred. 2. Prior experience in education preferred. Special Requirements: Cognitive Requirements: 1. Emotional maturity and good people skills required. 2. Ability to work with distressed or anxious staff, patients, family members or employees required. 3. Possesses basic computer skills. 4. Infection Control skills 5. Knowledge and observance of patient privacy requirements. Physical Demands: 1. Able to perform under stress. 2. May involve business related travel. 3. Has adequate hearing, vision, speech and manual dexterity. Environment: 1. Potential for exposure to blood and body fluids. 2. Potential for exposure to infectious diseases.

Interviews and assesses patients and/or patient's family, caregivers, and/or legal representatives. Determines, prioritizes, provides and/or arranges for needed internal and external services/interventions. Consults with multidisciplinary teams regularly to evaluate patient's status and appropriateness of medical care, including coordination of care in all care centers. Participates in discharge planning including identification and coordination of appropriate resources. Provides discharge education and resource referrals to patients when necessary. Performs chart review to identify actual or potential issues with service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement. Scheduled Weekly Hours: 40 Scheduled Work Shift: Job Exempt: No Benefits: Supporting all aspects of our employees' wellness - physical, emotional and financial - is a critical component of being a great place to work. With the wide range of benefits and programs available, employees have the resources they need to be well at every stage of life and plan for the future. Physical Wellness: * We offer quality health, dental, and vision benefits and wellness programs and resources to provide employees access to resources for a healthy lifestyle and help manage health care costs. * Employees have access to industry-leading leave for new parents. * A generous earned time plan is offered to all employees - We believe employees need and deserve time away from work to observe holidays, be with family, go on vacation, or simply take care of themselves. Emotional Wellness: When life gets challenging, employees have access to our Employee Assistance Program for employees and anyone in their household. Financial Wellness: * Access the wages you've already earned before payday with Payactiv, giving you greater flexibility over your finances. * Tuition Reimbursement is available to all employees to further develop skills and career. * We offer eligible employees up to 2% of eligible pay in 403(b) company-matching contributions plus another 2% in the 401(a) retirement income plan. * Three insurance plans are available to protect your family from the sudden loss of income in the event of your death, terminal illness or serious injury from accident. * We offer both short-term and long-term disability insurance to replace a portion of your income if you become disabled and cannot work for a period of time. Career Mobility: Helping our employees develop their skills and grow their careers is critical to how we retain our talent and sustain our business. We do this by offering our teammates a variety of leadership-supported programs and learning and development resources for every stage of their professional development. We know that our employees are our most valuable resource - they're how we grow our business and care for our community. Equal Opportunity Employer M/F/Vet/Disability Assistive technologies are available. Application assistance for those requesting reasonable accommodation to the career site is available by contacting HR at ************** .