Medical Director - Gastroenterology- Evicore by Evernorth- Remote

The Cigna Group; United States; Remote; USD 203,000 - 339,000; Full time

Job summary

A leading healthcare company is seeking a Gastroenterology Medical Director to provide evidence-based medical reviews and collaborate with healthcare providers. This remote role offers both full-time and part-time opportunities, a competitive salary, and comprehensive benefits starting on day one.

Benefits

Benefits start on day one

Predictable work schedules

100% work from home

401(K) with company match

Reimbursement for continuing medical education

Career growth opportunities

Networking with peers

Paid time off and holidays

Qualifications

• 5 years of relevant clinical experience post residency/fellowship.
• Knowledge of state and federal laws.
• Ability to commit to a set weekly work schedule.

Responsibilities

• Complete evidence-based medical case reviews for medical necessity.
• Conduct peer-to-peer calls with referring providers.
• Collaborate with eviCore physician colleagues for patient care.

Skills

Clinical expertise

Communication skills

Technology skills

Typing skills

Strong clinical judgment

Education

M.D. or D.O. with a current, active U.S. state medical license

Board certified in Gastroenterology

Job description

The job profile for this position is Utilization Review Medical Principal, which is a Band 5 Senior Contributor Career Track Role.

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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 certified in Gastroenterology recognized by the American Board of Medical Specialties, or American Osteopathic Association
• Eligible to acquire additional state licensure as required
• 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, but not limited to, typing, speaking, and listening 100% of the time
• In accordance with our HITECH Security Accreditation, company-provided encrypted workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
• If working at home, internet connection must be through a cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload speeds.

This role offers an annual salary ranging from $203,200 to $338,600, depending on experience and location, with potential eligibility for an annual bonus plan.

We want you to be healthy, balanced, and secure. You’ll enjoy comprehensive benefits, including medical, vision, dental, well-being and behavioral health programs, starting on day one. Additional benefits include 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off annually, and paid holidays. For more details, visit Life at Cigna.

Qualified applicants will be considered regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, marital or familial status, genetic information, citizenship, or any other protected characteristic. We also consider applicants with criminal histories in accordance with applicable laws.