Independent Consultant - Medical Director, Oncology and Specialized Clinical Review

Independent Consultant - Medical Director, Oncology & Specialized Clinical Review (Garden City, NY)

Health Care Partners, IPA and Health Care Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, Health Care Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products.

Our MSO employs 200+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources.

HCP’s vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP’s mission of serving our members by facilitating the delivery of quality care. Interested in joining our successful Garden City Team?

Health Care Partners (HCP) is seeking an experienced physician consultant with expertise in Hematology and Oncology to provide specialized clinical consulting and medical review services in support of HCP’s medical management, utilization management, and quality-of-care initiatives.

This is an independent contractor consulting engagement, not a full-time or part-time employee position. Services will generally be performed remotely and on an as‑needed basis, based on HCP’s clinical review and consultation needs. The volume and complexity of assignments may vary.

• Reviewing oncology and hematology‑related authorization requests, including chemotherapy, radiation oncology, advanced or specialized treatments, and other complex services.
• Reviewing requests involving genetic testing, molecular/genomic testing, targeted therapies, and other specialized diagnostic or treatment services.
• Providing clinical consultation regarding clinical trials, investigational therapies, emerging treatments, and other complex or specialty cases.
• Conducting peer‑to‑peer consultations with treating physicians and specialists to discuss clinical circumstances, treatment plans, and available treatment alternatives.
• Providing specialized clinical guidance to HCP medical management physicians, nurses, and other designated clinical personnel regarding complex oncology and hematology cases.
• Reviewing clinical documentation and medical records to assist with determinations regarding medical necessity, appropriateness, and clinical rationale for requested services.
• Providing retrospective clinical consultation to support quality, utilization, and appropriateness‑of‑care reviews.
• Advising HCP regarding evidence‑based oncology and hematology practices, clinical standards, and applicable regulatory or industry guidelines.
• Providing input regarding the development or refinement of clinical guidelines, review criteria, and processes applicable to oncology, hematology, genetic testing, clinical trials, and other specialized services.
• Communicating with HCP staff and treating providers, as reasonably necessary, to clarify clinical information, discuss cases, and support appropriate clinical decision‑making.

The Consultant will interface with designated HCP professional and administrative staff as necessary to perform the consulting services and will exercise independent professional judgment in providing clinical opinions and recommendations.

• Independent contractor/consulting engagement
• Remote
• As‑needed/flexible schedule
• Work volume will vary based on…