Remote Medical Director, Evidence-Based Care

Cigna Healthcare; United States; A distancia; USD 208.000 - 346.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Benefits start day one

Remote work from home

8 Paid Holidays + 23 PTO Days

401(K) with company match

CME reimbursement

Career growth opportunities

Networking with peers across medical 2

Health and well-being programs

Descripción de la vacante

The Cigna Group, via its EviCore division, seeks a Medical Director to perform evidence-based medical reviews and consult with referring providers. This remote role leverages your clinical expertise to guide medical necessity decisions and patient care.

You will collaborate with a large physician network, stay current on regulations, and train remotely to start. A US MD/DO with board certification is required and a strong clinical background is essential.

Formación

• MD/DO degree and current, active U.S. state medical license.
• Board certified in PM&R, Family Medicine, Emergency Medicine or Internal Medicine.
• 3 years of relevant clinical experience post residency/fellowship.
• Knowledge of applicable state and federal laws.
• Utilization Review Accreditation Commission and NCQA standards are a plus.
• Ability to commit to a set weekly schedule (Mon–Fri).
• Strong computer skills and ability to work autonomously with automated processes.

Responsabilidades

• Complete time-sensitive, evidence-based medical case reviews for medical necessity.
• Conduct peer-to-peer physician consultations to discuss medical necessity and appropriateness.
• Recommend alternative services or treatments when appropriate.
• Collaborate with over 500 EviCore physicians to ensure proper patient care.

Conocimientos

Clinical judgment

Communication skills

Typing / computer skills

Educación

MD/DO degree

US medical license

Board certification (PM&R / Family Med / EM / Internal Med)

Descripción del empleo

The Cigna Group, via its EviCore division, seeks a Medical Director to perform evidence-based medical reviews and consult with referring providers. This remote role leverages your clinical expertise to guide medical necessity decisions and patient care.

You will collaborate with a large physician network, stay current on regulations, and train remotely to start. A US MD/DO with board certification is required and a strong clinical background is essential.