Medical Director – Post Acute

🔥 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 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 requested services or treatments • Leverage clinical expertise to recommend alternative services or treatments as necessary • Perform virtual rounds with your own team of nurses • Collaborate with over 500 EviCore physician colleagues to help ensure patients receive proper care through evidence-based decision making • Complete structured remote training with support from trainers, mentors, and leadership • Stay current on healthcare regulations and industry developments while reviewing cases

🎯 Requirements

• M.D. or D.O. with a current, active, U.S. state medical license and 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 • Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time • Company-provided encrypted workstation required to be hard-wire connected to a modem or router; wireless connection is not permitted • Cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload required for home work

🏖️ 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