Medical Director – Neurologist

🕒 Yesterday

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare Insurance • Pharmaceuticals

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

📋 Description

• Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles. • Works to achieve quality outcomes for customers/members with a focus on service and cost. • Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills. • Balances customer/member needs with business needs while serving as a customer/member advocate at all times. • Participates in all levels of the Appeal process as appropriate and allowed by applicable regulatory agencies and accreditation organizations.

🎯 Requirements

• Current unrestricted medical license in a US state or territory. • Current board certification (lifetime certification or certification maintained by MOC or other applicable program) in an ABMS or AOA recognized specialty • Minimum of 5 years of clinical practice experience and/or direct patient care beyond residency • Computer Competency: Word processing, Spreadsheet, Email, PowerPoint and Personal Information Management programs are used extensively and competency in all must be possessed or rapidly acquired. • Must not be excluded from participation in any federal health care program. • Must not be included in CMS’ Preclusion List. • Preferred Skill Sets: Experience in medical management, utilization review and case management in a managed care setting.

🏖️ Benefits

• Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. • 401(k) • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays • Participation in an annual bonus and long term incentive plan