Medical Director – Post Acute Care

🔥 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

Founded 1982

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • 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

• 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 • Collaborate with over 500 EviCore physician colleagues to support evidence-based decision-making and proper patient care • Complete remote training in a structured environment with trainers, mentors, and leadership • Stay current on healthcare regulations and industry developments

🎯 Requirements

• M.D. or D.O. with a current, active, U.S. state medical license • 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 • 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 if working at home

🏖️ 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 • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Annual bonus plan eligibility