theoncologyinstitute

Medical Director Utilization Management Oncology

Cerritos, California, United States · Director

Sponsorship not specifiedDetected 15 days ago

Clinical Trials

About the role

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.

Partner with clinical and operational teams to support value-based care.
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.

Minimum of 5 years of clinical experience in oncology.
2+ years of Utilization Management experience
Proven expertise in Utilization Management or experience with reviewing clinical appropriateness of treatment plans.
Medical degree (MD or DO)
Board Certification in Oncology.
Strong understanding of oncology-specific treatment protocols, guidelines, and reimbursement policies.
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Liaise with providers, insurance companies, and patients to clarify and discuss treatment options and coverage.

TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting.
TOI offers cutting-edge, evidence-based cancer care to a population of approximately 1.9 million patients, including clinical trials, transfusions, and other care delivery models traditionally associated with the most advanced care delivery organizations.
Utilization Management Medical Director Oncology

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