Medical Director

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $207.8k - $346.3k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

Healthcare • Insurance

The Cigna Group is a global health services company that provides medical, dental, pharmacy, behavioral and supplemental insurance products and benefits to individuals, families, employers, brokers, providers and Medicare beneficiaries. It offers employer-sponsored group plans, individual and family plans (including Open Enrollment offerings), Medicare, international health insurance covering more than 200 countries, and digital member services through the myCigna platform (including telehealth and claims management). Its products are delivered through operating subsidiaries such as Cigna Health and Life Insurance Company and other regional affiliates.

📋 Description

• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity using EviCore’s case management software • Conduct physician consultation (peer-to-peer) calls with referring providers • Discuss evidence-based medical necessity and appropriateness of requested services or treatments • Recommend alternative services or treatments as necessary • Perform virtual rounds with the assigned team of nurses • Collaborate with over 500 EviCore physician colleagues • Support evidence-based decision-making to help ensure patients receive proper care • Complete structured remote training with trainers, mentors, and leadership

🎯 Requirements

• M.D. or D.O. with a current, active, U.S. state medical license • Board certified in Primary Care (Internal Medicine, Family Medicine), Emergency Medicine, or PM&R 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 • Ability to type, speak, and listen 100% of the time • Company-provided encrypted workstation hard-wire connected to a modem or router; wireless connection is not permitted • Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

🏖️ Benefits

• 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 • Medical, vision, dental, and well-being and behavioral health programs • Company paid life insurance • Tuition reimbursement • A minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Annual bonus plan eligibility