Medical Director

2 weeks ago


united states work at home The Cigna Group Full time

Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further As a Pediatric Infectious Disease Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll use your clinical know-how to provide evidence-based medical reviews for patient care. Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases. This role offers you the opportunity to build new skills while enhancing the health and vitality of others. We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. Drive growth in your career with our innovative team.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 onePredictable work schedules100% work from home8 Paid Holidays + 23 PTO Days401(K) with company matchReimbursement for continuing medical educationCareer growth opportunities across the enterpriseNetworking 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 Pediatric Infectious Disease, recognized by the American Board of Medical Specialties, or American Osteopathic AssociationEligible to acquire additional state licensure as requiredPrefer one of the following state medical licenses but is not required: DC, MD or VA 5 years of relevant clinical experience post residency/fellowshipKnowledge of applicable state federal lawsUtilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plusAbility to commit to a set, weekly work schedule (Monday through Friday) Strong computer skills: ability to work autonomously with automated processes, computer applications, and systemsMeet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of timeIn 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.



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