Medical Director - Pediatric Otolaryngology- EviCore

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

Job summary

Cigna is seeking a Pediatric Otolaryngology Medical Director to leverage clinical expertise for evidence-based medical reviews. This remote position offers a structured training environment, predictable schedules, and comprehensive benefits starting on day one, including 401(k) matching and paid time off.

Benefits

Benefits start on day one

100% work from home

401(K) with company match

Reimbursement for continuing medical education

Career growth opportunities

Networking with peers

Paid Holidays + 23 PTO Days

Qualifications

• 5+ years of relevant clinical experience post-residency/fellowship.
• Knowledge of state and federal laws.
• Ability to work autonomously with computer applications.

Responsibilities

• Conduct evidence-based medical case reviews for medical necessity.
• Perform physician consultation calls to discuss treatment appropriateness.
• Collaborate with over 500 physician colleagues.

Skills

Clinical judgment

Communication

Technology skills

Typing skills

Education

M.D. or D.O. with board certification in Pediatric Otolaryngology

Job description

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:

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 Otolaryngology recognized by the American Board of Medical Specialties or the American Osteopathic Association
• Preferred but not required: state medical licenses in DC, MD, or VA
• Eligible to acquire 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 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 including typing, speaking, and listening 100% of the time
• Company-provided encrypted workstation connected via hard wire to a modem or router; wireless connection not permitted

If working from home, ensure internet speeds of at least 10Mbps download and 5Mbps upload through a cable broadband or fiber optic provider. The anticipated annual salary range is $203,200 - $338,600, depending on experience and location, with eligibility for an annual bonus plan.

We offer comprehensive benefits, including medical, vision, dental, well-being and behavioral health programs, starting on day one. Additional benefits include 401(k) with company 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 Group.

About Evernorth Health Services

Evernorth Health Services, 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.

We are an equal opportunity employer. Qualified applicants will be considered without regard to race, color, age, disability, sex, pregnancy, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance status, citizenship, or other protected characteristics.

If you require reasonable accommodation during the application process, please email: [e-mail]. Do not email for application updates or resumes, as responses will not be provided.

The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users in states where permissible, unless they participate in a qualifying cessation program. States include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington.

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