Medical Director -Pediatric Cardiology

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

Job summary

A leading healthcare company seeks a Pediatric Cardiologist Medical Director for remote opportunities. This role involves conducting medical reviews, collaborating with providers, and leveraging clinical expertise to enhance patient care. Enjoy a flexible schedule and comprehensive benefits starting from day one.

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

Qualifications

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

Responsibilities

• Conduct peer-to-peer physician consultations to discuss medical necessity.
• Complete time-sensitive, specialized evidence-based medical case reviews.

Skills

Communication

Technology

Clinical Judgment

Education

M.D. or D.O.

Board Certification in Pediatric Cardiology

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.

Medical Director - Pediatric Cardiologist - Evicore - Remote

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

Do you crave an intellectually stimulating job that leverages your clinical expertise while developing new skills and improving lives? As a Pediatric Cardiologist Medical Director at Evicore, part of Evernorth Health Services, a division of The Cigna Group, you’ll provide evidence-based medical reviews for patient care, collaborate with healthcare providers, and stay current on healthcare regulations and industry developments. This role offers opportunities to build new skills and enhance the health of others. We seek a detail-oriented individual with strong communication, technology, and clinical judgment skills.

How you’ll make a difference:

1. 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 using eviCore’s case management software.
3. Conduct peer-to-peer physician consultations to discuss medical necessity and appropriateness of services.
4. Leverage your clinical expertise to recommend alternative services or treatments.
5. Collaborate with over 500 eviCore physician colleagues to ensure patients receive proper evidence-based care.

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
• Networking across multiple medical specialties

Requirements:

• M.D. or D.O. with an active U.S. medical license and board certification in Pediatric Cardiology (American Board of Medical Specialties or American Osteopathic Association)
• Eligible for 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 NCQA standards are a plus
• Ability to commit to a set, weekly schedule (Monday through Friday)
• Strong computer skills and ability to work autonomously with automated systems
• Physical demands include typing, speaking, and listening continuously
• Reliable internet connection (cable or fiber optic, at least 10Mbps download/5Mbps upload) if working remotely

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

Additional Benefits:

Starting on day one, enjoy medical, vision, dental, well-being, and behavioral health programs, 401(k) with 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 regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, genetic information, citizenship, or other protected characteristics.

Please ensure you meet our posting guidelines to be eligible for consideration, available at the provided link. Qualified applicants with criminal histories will be considered per applicable laws.