Medical Director -Pediatric Surgery

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

Job summary

A leading healthcare company seeks a Medical Director in Pediatric Surgery to provide evidence-based medical reviews and collaborate with healthcare providers. This remote role offers both full-time and part-time opportunities, along with competitive benefits and a supportive training environment.

Benefits

401(K) with company match

Reimbursement for continuing medical education

8 Paid Holidays + 23 PTO Days

Benefits start on day one

Predictable work schedules

100% work from home

Qualifications

• M.D. or D.O. with a current, active U.S. state medical license.
• 5 years of relevant clinical experience post residency/fellowship.
• Knowledge of state and federal laws.

Responsibilities

• Conduct medical case reviews for medical necessity.
• Perform peer-to-peer consultations with providers.
• Collaborate with eviCore physician colleagues.

Skills

Clinical Judgment

Communication

Technology Skills

Typing Skills

Education

M.D. or D.O.

Board Certification in Pediatric Surgery

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 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 Surgery recognized by the American Board of Medical Specialties or the American Osteopathic Association
• Eligible to acquire additional state licensure as required
• 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, but not limited to, typing, speaking, and listening 100% of the time
• Company-provided encrypted workstation required to be hard-wired 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 through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. The anticipated annual salary range for this position is $203,200 - $338,600, depending on experience and location.

This role is also expected to be eligible for an annual bonus plan.

Benefits:

Starting on day one, you'll have access to medical, vision, dental, and behavioral health programs, 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, provides pharmacy, care, and benefit solutions to improve health and vitality. We innovate to make the 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 or expression, veteran or military status, religion, national origin, 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 given.

The Cigna Group maintains a tobacco-free policy and may not hire tobacco/nicotine users where legally permissible. Candidates using tobacco/nicotine must enter a qualifying cessation program prior to employment in certain states.

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