Medical Director

🔥 2 hours ago

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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

• Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution • Works to achieve quality outcomes for customers/members • Improves clinical outcomes through daily interactions with health care professionals • Balances customer/member needs with business needs while serving as a customer/member advocate • Participates in all levels of the Appeal process as appropriate

🎯 Requirements

• Current unrestricted medical license in a US state or territory • Current board certification in an ABMS or AOA recognized specialty • Minimum of 5 years clinical practice experience and/or direct patient care beyond residency • Proficiency in Word processing, Spreadsheet, Email, PowerPoint, and Personal Information Management programs

🏖️ Benefits

• Medical, vision, and dental insurance • 401(k) • Company-paid life insurance • Tuition reimbursement • Minimum of 18 days paid time off per year • Paid holidays • Leaves of absence