Medical Director - Infectious Disease - EviCore

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

Job summary

A leading healthcare firm is seeking a Utilization Review Medical Principal to conduct evidence-based medical reviews and collaborate with healthcare providers. Candidates should have an M.D. or D.O. and expertise in Infectious Disease. This role offers remote work, comprehensive benefits, and competitive salary ranging from $203,200 to $338,600 annually based on experience. Join a team that's dedicated to improving lives through patient care.

Benefits

Comprehensive health benefits

401(K) with company match

Paid time off and holidays

Tuition reimbursement

Career growth opportunities

Qualifications

• 3+ years of relevant clinical experience post residency/fellowship required.
• Knowledge of applicable state and federal laws.
• Ability to commit to a set, weekly work schedule (Monday through Friday).

Responsibilities

• Complete specialized evidence-based medical case reviews.
• Conduct peer-to-peer consultations with referring providers.
• Work collaboratively with over 500 EviCore physician colleagues.

Skills

Clinical expertise

Strong communication skills

Technology proficiency

Typing skills

Strong clinical judgment

Education

M.D. or D.O. with an active U.S. medical license

Board certified in Infectious Disease

Tools

EviCore’s case management software

Job description

Overview

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

Excited to grow your career?

We value our talented employees, and whenever possible strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

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 Infectious Disease 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 are 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

• You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• 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 the requested service or treatment.
• Leverage your clinical expertise to recommend alternative services or treatments as necessary.
• 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 Infectious Disease, recognized by the American Board of Medical Specialties, or American Osteopathic Association
• Eligible to acquire additional state licensure as required
• 3 or more years of relevant clinical experience post residency/fellowship required
• 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
• 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 you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 203,200 - 338,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

Benefits

We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna.

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, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Please note that you must meet our posting guidelines to be eligible for consideration. Policy can be reviewed at this link.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.