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Medical Director - Medical Oncology - eviCore - Remote

Evernorth Health Services

Bloomfield Township (OH)

Remote

USD 203,000 - 339,000

Full time

16 days ago

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Job summary

An innovative healthcare organization seeks a Medical Oncology Medical Director to leverage clinical expertise in evidence-based medical reviews. This role offers a unique opportunity to work remotely while collaborating with a network of over 500 physician colleagues. Enjoy comprehensive benefits starting on day one, including generous PTO, 401(k) matching, and career growth opportunities. If you are passionate about improving patient care and developing new skills, this position is an exciting chance to make a difference in the healthcare industry.

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
Networking with peers across specialties

Qualifications

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

Responsibilities

  • Conduct evidence-based medical case reviews for medical necessity.
  • Collaborate with healthcare providers on treatment appropriateness.

Skills

Clinical Judgment
Communication Skills
Technology Skills
Typing Skills

Education

M.D. or D.O. with current U.S. medical license
Board Certification in Medical Oncology

Tools

eviCore’s case management software

Job description

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 strive to help our associates grow professionally before recruiting new talent. If you think the open position 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 leverages your clinical expertise while developing new skills and improving lives? Then look no further! As a Medical Oncology 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 the opportunity to build new skills while enhancing the health of others. We seek 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.
  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 medical necessity and appropriateness of requested services or treatments.
  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 Medical Oncology, recognized by the American Board of Medical Specialties or 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 are a plus
  • Ability to commit to a set, weekly work schedule (Monday through Friday)
  • Strong computer skills: ability to work autonomously with automated processes, applications, and systems
  • Meet physical demands including typing, speaking, and listening 100% of the time
  • For remote work, a company-provided encrypted workstation connected via wired internet with minimum speeds of 10Mbps download and 5Mbps upload is required

We anticipate offering an annual salary of $203,200 - $338,600, depending on experience and location. This role is also expected to be eligible for an annual bonus plan.

We want you to be healthy, balanced, and secure. You’ll enjoy comprehensive benefits starting on day one, including medical, vision, dental, well-being and behavioral health programs, 401(k) with company match, company-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 without regard to race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, marital status, genetic information, or other protected characteristics. Applicants with criminal histories will be considered in accordance with applicable laws.

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