Medical Director -Pediatric Surgery

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

Job summary

An established industry player is seeking a Pediatric Surgery Medical Director to leverage clinical expertise and enhance patient care. This role offers the chance to work remotely while conducting specialized medical reviews and collaborating with healthcare providers. With a focus on evidence-based decision-making, you will play a vital role in improving health outcomes. Enjoy a supportive environment with predictable schedules, comprehensive benefits starting day one, and opportunities for career growth. If you're passionate about making a difference in healthcare, this position is a perfect fit.

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

Networking with peers

Qualifications

• 5+ years of relevant clinical experience post-residency/fellowship.
• Strong computer skills and ability to work autonomously.

Responsibilities

• Conduct evidence-based medical case reviews for medical necessity.
• Collaborate with healthcare providers to discuss treatment appropriateness.

Skills

Clinical Judgment

Communication Skills

Technology Skills

Typing Skills

Education

M.D. or D.O.

Board Certification in Pediatric Surgery

Tools

eviCore's case management software

Job description

Medical Director - Pediatric Surgery- Evicore- Remote

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 Surgery Medical Director at Evicore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical knowledge 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 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. 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 using eviCore's case management software.
3. Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and the appropriateness of requested services or treatments.
4. Leverage your clinical expertise to recommend alternative services or treatments as necessary.
5. Collaborate 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 Surgery recognized by the American Board of Medical Specialties or the American Osteopathic Association
• 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 of the role, including typing, speaking, and listening 100% of the time
• In accordance with our HITECH Security Accreditation, company-provided encrypted workstation is required to be hard-wired connected to a modem or router; wireless connection is not permitted.

If working remotely, your internet connection must be through a cable broadband or fiber optic provider with minimum speeds of 10Mbps download and 5Mbps upload.

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

We support your whole health with benefits starting on day one, including medical, vision, dental, well-being, and behavioral health programs. Additional benefits include 401(k) with company match, company-paid life insurance, tuition reimbursement, at least 18 days of paid time off per year, and paid holidays. For more details, visit Life at Cigna Group.

About Evernorth Health Services:

Evernorth 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 regardless of race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran or military status, religion, national origin, or other protected characteristics.

If you require reasonable accommodation, please 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 in states where legally permissible. Candidates using tobacco/nicotine in these states must enter a qualifying smoking cessation program before employment. States include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington.

Applicants with criminal histories will be considered in accordance with applicable laws.