Medical Director - Pediatric Otolaryngology- EviCore

Cigna Health and Life Insurance Company; Delaware (OH); Remote; USD 196,000 - 328,000; Full time

Job summary

An innovative health services division is seeking a Pediatric Otolaryngology Medical Director to leverage clinical expertise in a remote role. This position involves conducting evidence-based medical reviews, collaborating with healthcare providers, and recommending treatments to enhance patient care. Enjoy a structured training environment with support from mentors and leadership. The role offers a competitive salary, comprehensive benefits starting on day one, and opportunities for career growth. Join a forward-thinking team dedicated to improving lives and making healthcare more accessible.

Benefits

Health Insurance

401(K) with company match

Tuition Reimbursement

23 PTO Days

8 Paid Holidays

Continuing Medical Education Reimbursement

Predictable Work Schedules

Networking Opportunities

Qualifications

• 5 years of clinical experience post residency/fellowship required.
• Must have a current, active U.S. state medical license.

Responsibilities

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

Skills

Clinical Judgment

Communication Skills

Technology Skills

Typing Skills

Education

M.D. or D.O.

Board Certification in Pediatric Otolaryngology

Tools

eviCore Case Management Software

Computer Applications

Job description

Medical Director - Pediatric Otolaryngology- EviCore

Apply remote type Remote locations United States Work at Home time type Full time posted on Posted Yesterday job requisition id 24012498

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 Otolaryngology 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 certified in Pediatric Otolaryngology recognized by the American Board of Medical Specialties, or American Osteopathic Association
• Prefer one of the following state medical licenses but is not required: DC, MD or VA
• Eligible to acquire additional state licensure as required
• 5 years of relevant clinical experience post residency/fellowship
• Knowledge of applicable state 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 10Mbps download/5Mbps upload.

This position anticipates offering an annual salary of 196,800 - 328,000 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in 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 of your employment, 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 on our employee benefits programs, 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 equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [e-mail] for support. Do not email [e-mail] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their 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 for employment in a manner consistent with all federal, state, and local ordinances.