Cardiology Medical Director | Remote Case Reviews

Cigna Health and Life Insurance Company; United States; Hybrid; USD 208,000 - 346,000; Full time

Benefits offered by this job

Work from home

Paid holidays

401(k) with company match

Health benefits

Job summary

The Cigna Group's EviCore division seeks a Medical Director with Cardiology expertise to lead evidence-based medical reviews for medical necessity and patient care. You’ll review diverse cases, consult providers peer-to-peer, and stay current with health regulations and industry developments.

This is a fully remote role with structured training and mentorship. You’ll collaborate with over 500 EviCore physician colleagues to ensure quality care, while leveraging your clinical judgment to

Qualifications

• MD or DO with current, active U.S. medical license and board certification in Cardiovascular Disease or Interventional Cardiology.
• Eligible to obtain additional state licensure as required.
• 3+ years of relevant clinical experience post residency/fellowship.
• Knowledge of state/federal laws and utilization review standards is a plus.

Responsibilities

• Complete time-sensitive, evidence-based medical case reviews for medical necessity.
• Conduct peer-to-peer physician consultations to discuss evidence and appropriateness.
• Recommend alternative services or treatments when appropriate.
• Collaborate with 500+ EviCore physicians to ensure quality care.

Skills

Cardiology expertise

Peer-to-peer consultation

Evidence-based decision making

Strong communication

Education

MD/DO

Active U.S. medical license

Board certification in Cardiovascular Disease or Interventional Cardiology

Tools

Case management software

Utilization review tools

EHR systems

Job description

The Cigna Group's EviCore division seeks a Medical Director with Cardiology expertise to lead evidence-based medical reviews for medical necessity and patient care. You’ll review diverse cases, consult providers peer-to-peer, and stay current with health regulations and industry developments.

This is a fully remote role with structured training and mentorship. You’ll collaborate with over 500 EviCore physician colleagues to ensure quality care, while leveraging your clinical judgment to