Description
We are seeking a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group. As a Medical Director, you will leverage your background in Maternal-Fetal Medicine (OB/GYN) to deliver evidence-based medical reviews that support high-quality patient care.
How you'll make a difference:
- You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
- Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore's case management software.
- Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
- Leverage your clinical expertise to recommend alternative services or treatments as necessary.
- Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.
What you'll enjoy about working here:
- Benefits start on day one
- Predictable work schedules
- 100% work from home
- 8 Paid Holidays + 23 PTO Days
- 401(K) with company match
- Reimbursement for continuing medical education
- Career growth opportunities across the enterprise
- Networking with peers across multiple medical specialties
Requirements:
- M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Maternal-Fetal Medicine.
- Eligible to acquire additional state licensure as required
- 3 or more years of relevant clinical experience post residency/fellowship
- Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
- Ability to commit to a set, weekly work schedule (Monday through Friday)
- Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems
- Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of the time
- In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
The internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 207,800 - 346,300 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.