Medical Director - Pediatric Otolaryngology- EviCore

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

Job summary

Join a leading health services company as a Pediatric Otolaryngology Medical Director. Enjoy a remote role that offers the chance to leverage your medical expertise while making a difference in patient care and advancing your career with comprehensive benefits starting from day one.

Benefits

401(k) with company match

Health, vision, and dental insurance

Paid time off and holidays

Tuition reimbursement

Continuing medical education reimbursement

Qualifications

• Minimum of 5 years of clinical experience post-residency.
• Board certification in Pediatric Otolaryngology required.
• Knowledge of state and federal laws, Utilization Review Accreditation preferred.

Responsibilities

• Conduct medical case reviews using eviCore software.
• Engage in consultations to discuss medical necessity.
• Collaborate with physicians to ensure quality healthcare.

Skills

Clinical Experience

Computer Skills

Medical Judgment

Education

M.D. or D.O.

Board Certification in Pediatric Otolaryngology

Job description

Medical Director - Pediatric Otolaryngology - EviCore (Finance)

Do you seek an intellectually stimulating role that leverages your clinical expertise while developing new skills and improving patient lives? Join EviCore, part of Evernorth Health Services, a division of The Cigna Group, as a Pediatric Otolaryngology Medical Director. In this role, you will provide evidence-based medical reviews for patient care, collaborate with healthcare providers, and stay informed about healthcare regulations and industry trends. This position offers the chance to build new skills and make a meaningful impact on health and vitality.

How you'll make a difference:

• Participate in remote training supported by trainers, mentors, and leadership.
• Conduct timely, specialized medical case reviews for medical necessity using eviCore's case management software.
• Engage in physician consultation calls to discuss evidence-based medical necessity and appropriateness of services or treatments.
• Recommend alternative services or treatments based on your clinical judgment.
• Collaborate with over 500 eviCore physicians to ensure patients receive appropriate, evidence-based care.

What you'll enjoy about working here:

• Benefits start on day one
• Predictable schedules
• 100% work from home
• 8 paid holidays plus 23 PTO days
• 401(k) with company match
• Reimbursement for continuing medical education
• Opportunities for career advancement
• Networking with diverse medical professionals

Requirements:

• M.D. or D.O. with an active U.S. medical license and board certification in Pediatric Otolaryngology (American Board of Medical Specialties or American Osteopathic Association)
• Preferred but not required: state medical licenses for DC, MD, or VA
• Eligible for additional state licensure as needed
• Minimum of 5 years of clinical experience post-residency/fellowship
• Knowledge of applicable state and federal laws
• Utilization Review Accreditation and NCQA standards are a plus
• Ability to commit to a consistent weekly schedule (Monday-Friday)
• Strong computer skills for autonomous work with automated systems
• Physical ability to meet job demands, including typing, speaking, and listening continuously
• Reliable high-speed internet connection (cable or fiber optic, at least 10Mbps download/5Mbps upload) for remote work

Salary range is approximately $203,200 - $338,600 annually, depending on experience and location, with potential eligibility for an annual bonus.

We offer comprehensive benefits starting on day one, including health, vision, dental, well-being programs, 401(k) with match, paid life insurance, tuition reimbursement, and at least 18 days of paid time off annually. For more information, visit Life at Cigna Group.

About Evernorth Health Services:

Evernorth creates innovative pharmacy, care, and benefit solutions to improve health and vitality. We focus on making healthcare more accessible through relentless innovation. Join us to drive growth and improve lives.

We are committed to equal employment opportunities and consider all qualified applicants regardless of race, color, age, disability, sex, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics. Reasonable accommodations are available; please contact [e-mail] for support.

Note: Cigna's tobacco-free policy may restrict hiring tobacco/nicotine users in certain states unless participating in a cessation program. Criminal history considerations are in accordance with applicable laws.