Orthopedic Spine Surgeon - Remote - EviCore

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

Job summary

A leading health services company is looking for an Orthopedic Spine Surgery Medical Director. This remote position involves conducting medical reviews, collaborating with healthcare providers, and utilizing clinical expertise to enhance patient care. The role offers a competitive salary, comprehensive benefits starting on day one, and opportunities for career growth across the enterprise.

Benefits

Benefits start on day one

Predictable work schedules

100% work from home

23 PTO days

401(K) with company match

Reimbursement for continuing medical education

Career growth opportunities

Qualifications

• Must have U.S. state medical license and board certification.
• 5 years of relevant clinical experience post-residency.
• Prefer one of DC, MD, or VA state licenses.

Responsibilities

• Conduct evidence-based medical case reviews for treatment.
• Consult with physicians on medical necessity.
• Collaborate with physician colleagues for patient care.

Skills

Clinical judgment

Good communication

Technology skills

Typing skills

Education

M.D. or D.O. with board certification in Orthopedic Spine Surgery

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 an Orthopedic Spine 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 the 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 Orthopedic Spine Surgery, recognized by the American Board of Medical Specialties or American Osteopathic Association
• Eligible to acquire additional state licensure as required
• Preferably one of the following state medical licenses but not required: DC, MD, or VA
• 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
• Company-provided encrypted workstation is required to be hard-wire connected 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 via cable broadband or fiber optic service with speeds of at least 10Mbps download/5Mbps upload. The anticipated annual salary for this role ranges from $203,200 to $338,600, depending on experience and location. The position is also expected to be eligible for an annual bonus plan.

We want you to be healthy, balanced, and secure. You’ll enjoy comprehensive benefits starting on day one, including medical, vision, dental, behavioral health programs, 401(k) with company match, paid life insurance, tuition reimbursement, at least 18 days of paid time off, 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.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related conditions, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, public assistance, citizenship, or other protected characteristics.

If you require reasonable accommodation to complete the online application, 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 permissible. Candidates in such states must enter a qualifying cessation program before employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

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