Description
We are seeking a Medical Director to join our team at EviCore, part of Evernorth Health Services, a division of The Cigna Group. As a Medical Director, you will use your clinical expertise to provide evidence-based medical reviews for patient care. You will collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.
Key Responsibilities:
- 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. state medical license and board certified in PM&R, Family Medicine, Emergency Medicine and Internal Medicine, recognized by the American Board of Medical Specialties, or American Osteopathic Association.
- Eligible to acquire additional state licensure as required.
- 3 years of relevant clinical experience post residency/fellowship.
- Knowledge of applicable state 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.
Salary: The annual salary for this position is anticipated to be $207,800 - $346,300, depending on relevant factors, including experience and geographic location.