Medical Director -Pediatric Cardiology

Cigna Health and Life Insurance Company; United States; Remote; USD 203,000 - 339,000; Full time

Job summary

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

Benefits

401(K) with company match

Reimbursement for continuing medical education

8 Paid Holidays

23 PTO Days

Comprehensive medical, vision, and dental benefits

Qualifications

• 5 years of relevant clinical experience post-residency/fellowship.
• Ability to commit to a set, weekly work schedule (Monday through Friday).

Responsibilities

• Conduct physician consultation calls with referring providers.
• Complete time-sensitive, specialized evidence-based medical case reviews.
• Collaborate with over 500 physician colleagues.

Skills

Communication

Clinical Judgment

Technology

Education

M.D. or D.O.

Board Certification in Pediatric Cardiology

Tools

eviCore’s case management software

Job description

Medical Director - Pediatric Cardiology

Medical Director - Pediatric Cardiology

Apply: Remote type: Remote locations: United States, Work at Home, Full-time, posted on: Posted 2 Days Ago, job requisition id: 25001623

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:

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 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 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, 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.
For this position, internet connection must be via cable broadband or fiber optic with at least 10Mbps download and 5Mbps upload speeds.
• Anticipated annual salary: $203,200 - $338,600, depending on experience and location.
• Role may be eligible for an annual bonus plan.

This role offers comprehensive benefits from day one, including medical, vision, dental, well-being and behavioral health programs, 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and holidays. For details, visit Life at Cigna Group.

About Evernorth Health Services:

Evernorth, a division of The Cigna Group, creates pharmacy, care, and benefit solutions to improve health and vitality. We innovate to make prediction, prevention, and treatment of illness more accessible. 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, sexual orientation, gender identity, veteran or military status, religion, national origin, marital or familial status, genetic information, public assistance status, citizenship, or other protected characteristics.

If you require accommodations for the application process, email: [e-mail]. Do not email for application updates or resumes.

The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users where permitted by law. Candidates who use tobacco/nicotine in certain states must participate in a cessation program prior to employment. States include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, Washington.

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