Medical Director - Gastroenterology- Evicore by Evernorth- Remote

Cigna in; Bloomfield (CT); Remote; USD 203,000 - 339,000; Full time

Job summary

An established industry player is seeking a Gastroenterology Medical Director to leverage clinical expertise in a fully remote role. This position offers the chance to conduct evidence-based medical reviews and collaborate with a network of over 500 physician colleagues. The role emphasizes professional growth and skill development while ensuring high-quality patient care. Enjoy a comprehensive benefits package starting from day one, including medical, dental, and 401(k) matching. If you're looking to make a meaningful impact in healthcare, this opportunity is for you.

Benefits

401(K) with company match

Paid Time Off

Continuing Medical Education Reimbursement

Predictable Work Schedules

Comprehensive Benefits from Day One

Qualifications

• 5+ years of relevant clinical experience post-residency/fellowship.
• Knowledge of state and federal laws related to healthcare.

Responsibilities

• Conduct evidence-based medical reviews for patient care.
• Collaborate with healthcare providers for case discussions.

Skills

Clinical Judgment

Communication Skills

Technology Skills

Typing Skills

Education

M.D. or D.O. in Gastroenterology

Board Certification in Gastroenterology

Tools

eviCore's Case Management Software

Job description

Medical Director - Gastroenterology - Evicore by Evernorth - Remote

We have both full-time and part-time opportunities available.

Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Gastroenterology Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care. Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases. This role offers you the opportunity to build new skills while enhancing the health and vitality of others. We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. Drive growth in your career with our innovative team.

How you'll make a difference:

1. You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
2. Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
3. Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
4. Leverage your clinical expertise to recommend alternative services or treatments as necessary.
5. Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

What you'll enjoy about working here:

• 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

Requirements:

• M.D. or D.O. with a current, active, U.S. state medical license and board certification in Gastroenterology recognized by the American Board of Medical Specialties or the American Osteopathic Association
• Eligible to acquire additional state licensure as required
• At least 5 years of relevant clinical experience post-residency/fellowship
• Knowledge of applicable state and 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 typing, speaking, and listening 100% of the time
• In accordance with our HITECH Security Accreditation, company-provided encrypted workstation is required to be hard-wired to a modem or router. Wireless connection is not permitted.

If working at home occasionally or permanently, a broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload is required.

Anticipated annual salary ranges from $203,200 to $338,600 USD, depending on experience and location. The role is also expected to be eligible for an annual bonus plan.

We support your whole health with comprehensive benefits starting on day one, including medical, vision, dental, well-being programs, 401(k) with company match, company-paid life insurance, tuition reimbursement, at least 18 days of paid time off per year, and paid holidays. For more details, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care, and benefit solutions to improve health and vitality. We innovate to make the prediction, prevention, and treatment of illness more accessible to millions. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy), or related medical conditions, including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance status, citizenship, or any other characteristic protected by law.

If you require reasonable accommodation during the application process, please email: [e-mail]. Do not email for application updates or to submit resumes, as responses will not be provided.

The Cigna Group maintains a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where legally permissible. Candidates in such states who use tobacco/nicotine must enter a qualifying smoking cessation program prior to employment. States include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington.

Qualified applicants with criminal histories will be considered in accordance with all applicable laws.