- Evolent (Nashville, TN)
- …mission. Stay for the culture. **What You'll Be Doing:** Job Description As a FMD, Radiology you will be a key member of the utilization management team. We can ... and management staff, other Physicians, and staff whenever a physician `s input is needed or required. **What You Will...Assurance (NCQA) guidelines. + Aids and acts as a resource to Initial Clinical Reviewers. + Ensures documentation of… more
- Evolent (Nashville, TN)
- …the quality and cost of care. Through a comprehensive suite of resources -such as high-value clinical pathways, electronic decision support and value-based payment ... The CCO will lead the Clinical Operations team and work with medical director leadership to ensure consistent and efficient adjudication of clinical decisions. The… more