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About the role
<div class="content-intro"><p><span class="TextRun SCXW43524111 BCX8" lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW43524111 BCX8">About The Oncology Institute (</span></span><a class="Hyperlink SCXW43524111 BCX8" href="https://www.globenewswire.com/Tracker?data=p_KL_mI0cuWfXzRimVPJuamuAK3cS_3xyPQ_GAUvWBW6-XoUCKiHAhx9RKB3hidlH-QFYTT9QSdWIZzbUMEZRHIZ__snDwhQUL0VcbpzfTrDVgTtgrkFqK9-AGE_PVdpYMN7DZpyHIGNb3OH4zFea_TKV5iow1Hsa678-vVkZcdpUWLP7AR9zzExIWqMjDamQkmQZs2IbVUAyORbLhG12BTXkutFoVq9sG0yI_W_1eC-pLqHr6g8TDo50DxEZBSs_OS7QcO1FrkXqcqSpBgYceAxBeAQJ3KWTG3KK8DTySDPSssMADB7HQNdsEzrSeFG" target="_blank"><span class="TextRun SCXW43524111 BCX8" lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW43524111 BCX8" data-ccp-charstyle="Hyperlink">www.theoncologyinstitute.com</span></span></a><span class="TextRun SCXW43524111 BCX8" lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW43524111 BCX8">):</span></span><span class="LineBreakBlob BlobObject DragDrop SCXW43524111 BCX8"><span class="SCXW43524111 BCX8"> </span><br class="SCXW43524111 BCX8"></span><span class="TextRun SCXW43524111 BCX8" lang="EN-US" data-contrast="none"><span class="NormalTextRun SCXW43524111 BCX8">Founded in 2007, The Oncology Institute (NASDAQ: TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI offers </span><span class="NormalTextRun SCXW43524111 BCX8">cutting-edge</span><span class="NormalTextRun SCXW43524111 BCX8">, evidence-based cancer care to a population of approximately </span><span class="NormalTextRun SCXW43524111 BCX8">1.9 million patients</span><span class="NormalTextRun SCXW43524111 BCX8">, including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations. With over 180 employed and affiliate clinicians and over 100 clinics and affiliate locations of care across five states and growing, TOI is changing oncology for the better.</span></span><span class="EOP SCXW43524111 BCX8" data-ccp-props="{"134233117":false,"134233118":false,"335551550":0,"335551620":0,"335557856":16777215,"335559738":0,"335559739":0}"> </span></p></div><p style="text-align: center;"><strong>Utilization Management Medical Director Oncology</strong></p>
<p style="text-align: center;"><strong>Work Location: REMOTE (work from home)</strong></p>
<p style="text-align: center;"> </p>
<p style="text-align: center;"><strong>California Nevada Arizona Oregon Florida</strong></p>
<p style="text-align: center;"><img style="max-width: 100%;" src="https://theoncologyinstitute.sharepoint.com/:i:/r/sites/ComparablyImages2/Shared%20Documents/Images/Physicians.png?csf=1&web=1&e=YYL4a1" alt="" width="750"></p>
<p><span data-contrast="none">The Medical Director role provides clinical expertise in assessing the medical necessity, appropriateness, and efficiency of oncology care with a focus on direct utilization management for case review and clinical decision making. </span><span data-ccp-props="{"201341983":0,"335557856":16777215,"335559739":0,"335559740":300}"> </span></p>
<p><span data-contrast="none">In this collaborative role, you will work with physicians, clinical teams and operational leaders to support evidence-based high quality and cost-effective care delivery across the network. You will also contribute to cross-functional initiatives, data-driven insights, and oversight of utilization management policies to optimize patient outcomes.</span><span data-ccp-props="{"201341983":0,"335557856":16777215,"335559739":0,"335559740":300}"> </span></p>
<p><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span><strong><span data-contrast="auto"> Key Responsibilities:</span></strong><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></p>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Conduct medical reviews and make independent clinical decisions of hematology and oncology treatment plans to determine medical necessity, appropriateness, and alignment with value-based clinical guidelines and evidence-based practices.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Review and assess the appropriateness of ongoing cancer treatment plans, ensuring that they align with evidence-based medicine and clinical best practices.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Provide clinical guidance and recommendations that balance quality, outcomes, and cost-effectiveness. </span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Liaise with providers, insurance companies, and patients to clarify and discuss treatment options and coverage.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Evaluate clinical and utilization data to identify trends, variations in care, and opportunities for improvement</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Partner with clinical and operational teams to support value-based care.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Ensure compliance with organizational policies, regulatory standards, and payer requirements in all clinical decisions.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="2" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Participate in the development and continuous improvement of utilization management protocols and criteria specific to oncology.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
</ul>
<p><strong><span data-contrast="auto">Qualifications:</span></strong><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></p>
<ul>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Medical degree (MD or DO)</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Board Certification in Oncology.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Minimum of 5 years of clinical experience in oncology.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">2+ years of Utilization Management experience</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Proven expertise in Utilization Management or experience with reviewing clinical appropriateness of treatment plans.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Strong understanding of oncology-specific treatment protocols, guidelines, and reimbursement policies.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Excellent analytical skills and the ability to evaluate complex clinical data.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Ability to work independently and make evidence-based decisions in a collaborative, multidisciplinary setting.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
<li data-leveltext="" data-font="Symbol" data-listid="1" data-list-defn-props="{"335552541":1,"335559685":720,"335559991":360,"469769226":"Symbol","469769242":[8226],"469777803":"left","469777804":"","469777815":"multilevel"}" data-aria-posinset="1" data-aria-level="1"><span data-contrast="auto">Excellent communication skills to engage effectively with healthcare providers, payers, and patients.</span><span data-ccp-props="{"134233117":true,"134233118":true,"201341983":0,"335559740":240}"> </span></li>
</ul>
<p> </p>
<p style="text-align: center;">If you’re interested in learning more, but not ready to apply, please reach out to our team to set-up a call at your convenience. <a href="mailto:Physiciancareers@theoncologyinstitute.com">Physiciancareers@theoncologyinstitute.com</a></p>
<p style="text-align: center;"><strong>Ready to apply?</strong> Please complete the simple application and our team will reach out to you quickly.</p>
<p style="text-align: center;"> </p><div class="content-pay-transparency"><div class="pay-input"><div class="description"><p><em>The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. </em></p></div><div class="title">Pay Transparency for salaried teammates</div><div class="pay-range"><span>$275,000</span><span class="divider">—</span><span>$300,000 USD</span></div></div></div>
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