Medical Director -Pediatric Cardiology

Evernorth Health Services; Bloomfield (CT); Remote; USD 203,000 - 339,000; Full time

Job summary

Join a leading health services company as a Medical Director - Pediatric Cardiology. This role allows you to leverage your clinical expertise while working remotely. You'll conduct medical reviews, collaborate with providers, and enhance patient care through evidence-based practices. Enjoy benefits starting on day one, including comprehensive health plans, predictable schedules, and opportunities for career growth.

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

Qualifications

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

Responsibilities

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

Skills

Communication

Clinical Judgment

Technology Skills

Education

M.D. or D.O.

Tools

eviCore’s case management software

Job description

Join to apply for the Medical Director - Pediatric Cardiology role at Evernorth Health Services

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Join to apply for the Medical Director - Pediatric Cardiology role at Evernorth Health Services

Medical Director - Pediatric Cardiologist - Evicore - 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 Pediatric Cardiologist 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:

• 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 certification in Pediatric Cardiology 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 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 10 Mbps download/5 Mbps upload.

For this position, we anticipate offering an annual salary of USD 203,200 - 338,600, depending on relevant factors, including experience and geographic location.

This role is anticipated to be eligible for an annual bonus plan.

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, 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, 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 increase vitality. We relentlessly innovate to make the prediction, prevention, and treatment of illness and disease more accessible to millions of people. 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, status with regard to public assistance, citizenship status, or any other characteristic protected by applicable laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for application updates or to submit resumes.

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

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