Medical Director -Pediatric Surgery- Evicore

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

Job summary

Cigna is seeking a Pediatric Surgery Medical Director to leverage clinical expertise for evidence-based medical reviews. This remote position offers extensive benefits and a structured training environment. Applicants must be board-certified and possess a current medical license, along with relevant clinical experience.

Benefits

100% work from home

401(K) with company match

Reimbursement for continuing medical education

8 Paid Holidays + 23 PTO Days

Qualifications

• 5 years of relevant clinical experience post-residency/fellowship.
• Current, active U.S. state medical license.
• Knowledge of applicable state and federal laws.

Responsibilities

• Conduct specialized evidence-based medical case reviews.
• Consult with providers on medical necessity and appropriateness.
• Collaborate with eviCore physician colleagues to ensure quality care.

Skills

Clinical Judgment

Communication

Technology

Typing

Education

M.D. or D.O.

Board Certified in Radiation Oncology

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 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 certified in Radiation Oncology, recognized by the American Board of Medical Specialties, or American Osteopathic Association
• Eligible to acquire additional state licensure as required
• Prefer one of the following state medical licenses but is not required: DC, MD or VA
• 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 time
• Company-provided encrypted workstation connected via wired connection to a modem or router; wireless connection is not permitted

Additional Job Description

If working remotely, internet must be via cable broadband or fiber optic with at least 10Mbps download and 5Mbps upload speeds. The annual salary range for this position is $203,200 - $338,600 USD, depending on experience and location. The role is expected to participate in an annual bonus plan.

We offer comprehensive benefits starting on day one, including medical, vision, dental, well-being and behavioral health programs, 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, and paid holidays. More details can be found at Life at Cigna Group.

About Evernorth Health Services

Evernorth creates 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.

We consider all qualified applicants regardless of 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.

For reasonable accommodation in the application process, contact [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 permitted, unless they participate in a smoking cessation program prior to 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.