Medical Director -Pediatric Surgery

Evernorth Health Services; Bloomfield Township (OH); Remote; USD 203,000 - 339,000; Full time

Job summary

An established industry player is seeking a Pediatric Surgery Medical Director for a remote role. This intellectually stimulating position allows you to leverage your clinical expertise while collaborating with a network of over 500 physician colleagues. You'll engage in evidence-based medical reviews and consultations, contributing to improved patient care and outcomes. The role offers flexibility with predictable schedules, comprehensive benefits starting on day one, and opportunities for career advancement. If you're passionate about making a meaningful impact in healthcare, this could be the perfect opportunity for you.

Benefits

Paid holidays and PTO

401(k) with company match

Reimbursement for continuing medical education

Career advancement opportunities

Networking across specialties

Health coverage

Life insurance

Comprehensive benefits starting on day one

Qualifications

• 5+ years of clinical experience post-residency/fellowship required.
• Knowledge of relevant laws and standards essential.

Responsibilities

• Complete specialized medical case reviews for medical necessity.
• Conduct peer-to-peer physician consultations on service appropriateness.

Skills

Clinical Expertise

Evidence-based Medical Reviews

Strong Computer Skills

Communication Skills

Education

M.D. or D.O. with active U.S. medical license

Board Certification in Pediatric Surgery

Tools

eviCore’s case management software

Job description

Job Profile

The job profile for this position is Utilization Review Medical Principal, which is a Band 5 Senior Contributor Career Track Role.

Career Growth & Company Culture

We value our talented employees and strive to help our associates grow professionally before recruiting new talent. Our people make all the difference in our success.

Position Details

Medical Director - Pediatric Surgery - Evicore - Remote

Opportunities: Full-time and part-time available.

Job Description

If you seek an intellectually stimulating role that leverages your clinical expertise while developing new skills and improving lives, consider joining us! As a Pediatric Surgery Medical Director at Evicore, part of Evernorth Health Services, a division of The Cigna Group, you'll provide evidence-based medical reviews for patient care, collaborate with healthcare providers, and stay current on healthcare regulations. This role offers skill development and the chance to make a meaningful impact.

Responsibilities

• Complete specialized medical case reviews for medical necessity using eviCore’s case management software.
• Conduct peer-to-peer physician consultations to discuss medical necessity and appropriateness of services.
• Recommend alternative treatments or services based on clinical expertise.
• Collaborate with over 500 physician colleagues to ensure evidence-based patient care.

Benefits

• Benefits start on day one
• Predictable schedules, 100% remote work
• Paid holidays and PTO
• 401(k) with company match
• Reimbursement for continuing medical education
• Career advancement opportunities
• Networking across specialties

Requirements

• M.D. or D.O. with active U.S. medical license and board certification in Pediatric Surgery.
• Eligible for additional state licensure.
• At least 5 years of clinical experience post-residency/fellowship.
• Knowledge of relevant laws and standards.
• Strong computer skills and ability to work independently.
• Must meet physical demands, including typing, speaking, and listening.
• Reliable internet connection if working remotely (minimum 10Mbps download/5Mbps upload).

Compensation & Benefits

Annual salary range: $203,200 - $338,600 USD, depending on experience and location. Eligibility for an annual bonus plan. Comprehensive benefits include health coverage, life insurance, tuition reimbursement, paid time off, and more. For details, visit our 'Life at Cigna' page.

Equal Opportunity Employment

We consider all applicants without regard to race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics. Qualified applicants with criminal histories will be considered as per applicable laws.