Remote Medical Director — Pediatric Otolaryngology

Cigna Group; United States; Remote; USD 208,000 - 346,000; Full time

Benefits offered by this job

Benefits start day one

Work from home

PTO + holidays

401K with match

CME reimbursement

Job summary

The Cigna Group is seeking a Medical Director for EviCore to apply pediatric otolaryngology expertise in review of medical necessity cases. You will collaborate with providers, stay current on regulations, and guide evidence-based care in a remote setting.

You will conduct peer-to-peer consultations, support decision making, and leverage your clinical judgment to propose alternative options while working with a large network of EviCore physicians.

Qualifications

• MD/DO with current U.S. medical license and board certification in Otolaryngology (Complex Pediatric Otolaryngology).
• Eligible to acquire additional state licensure as required.
• 3+ years of relevant clinical experience post residency/fellowship.

Responsibilities

• Complete time-sensitive, evidence-based medical case reviews for medical necessity.
• Conduct physician consultations (peer-to-peer) discussions on evidence-based medical necessity and appropriateness.
• Recommend alternative services or treatments when appropriate.
• Collaborate with hundreds of EviCore physicians to ensure patient care via evidence-based decisions.
• Train remotely with structured onboarding and ongoing support.

Skills

Pediatric Otolaryngology

Medical review

Clinical leadership

Communication skills

Regulatory knowledge

Education

MD/DO with Complex Pediatric Otolaryngology board certification

Tools

Case management software

EMR systems

Job description

The Cigna Group is seeking a Medical Director for EviCore to apply pediatric otolaryngology expertise in review of medical necessity cases. You will collaborate with providers, stay current on regulations, and guide evidence-based care in a remote setting.

You will conduct peer-to-peer consultations, support decision making, and leverage your clinical judgment to propose alternative options while working with a large network of EviCore physicians.