Orthopedic Spine Surgeon - Remote - EviCore

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

Job summary

The Cigna Group seeks a Utilization Review Medical Principal who will leverage clinical expertise in Orthopedic Spine Surgery to provide evidence-based medical reviews. This role, suited for detail-oriented candidates with significant clinical experience, offers 100% remote work, competitive benefits, and opportunities for career growth.

Benefits

Benefits start on day one

Predictable work schedules

Paid Holidays and PTO Days

401(K) with company match

Reimbursement for continuing medical education

Career growth opportunities

Qualifications

• 5 years of relevant clinical experience post-residency/fellowship.
• Knowledge of applicable state and federal laws.
• Ability to commit to a weekly work schedule.

Responsibilities

• Complete evidence-based medical case reviews using eviCore’s software.
• Conduct peer-to-peer calls with referring providers to discuss medical necessity.
• Collaborate with over 500 eviCore physicians to ensure proper patient care.

Skills

Clinical Judgment

Communication Skills

Technology Skills

Detail-Oriented

Education

M.D. or D.O. with current U.S. state medical license

Board certification in Orthopedic Spine Surgery

Job description

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

Excited to grow your career?

We value our talented employees and strive to help our associates grow professionally before recruiting new talent to our open positions. If you think the open position you see is right for you, we encourage you to apply!

Our people make all the difference in our success.

Do you crave an intellectually stimulating job that leverages 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 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 seek 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:

• You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore’s case management software.
• Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence–based medical necessity and appropriateness of requested services or treatments.
• Leverage your clinical expertise to recommend alternative services or treatments as necessary.
• 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
• Preferred: 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, applications, and systems
• Meet physical demands of the role including typing, speaking, and listening 100% of the time
• For remote work, a company-provided encrypted workstation connected via wired connection (no wireless) is required

Additional Job Description

For remote work, internet connection must be via cable broadband or fiber optic with at least 10Mbps download and 5Mbps upload speeds.

Salary range: $203,200 - $338,600 USD annually, depending on experience and location. Position may be eligible for an annual bonus plan.

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

We are an equal opportunity employer. Qualified applicants will be considered without regard to race, color, age, disability, sex, pregnancy, sexual orientation, gender identity, veteran status, religion, national origin, or other protected characteristics.

Please meet our posting guidelines to be eligible for consideration. More info at the provided link.

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