Remote Otolaryngology Medical Director

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

Benefits offered by this job

Benefits start on day one

100% work from home

8 Paid Holidays + 23 PTO Days

401(K) with company match

Reimbursement for continuing medical教育

Career growth opportunities across the

Job summary

The Cigna Group's Evernorth Health Services is seeking a Medical Director (Otolaryngology) to conduct evidence-based medical reviews that support high-quality patient care. You will collaborate with healthcare providers and stay current on regulations while reviewing a wide range of cases from a home-based setup.

Ideal candidates have MD/DO with Otolaryngology board certification, 3+ years of clinical experience, and strong communication skills.

Qualifications

• MD or DO with a current, active U.S. medical license and board certification in Otolaryngology.
• Eligible to acquire additional state licensure as required.
• 3+ years of relevant clinical experience post residency/fellowship.
• Knowledge of applicable state and federal laws and standards is a plus.
• Ability to commit to a set, weekly work schedule (Mon-Fri).
• Strong computer skills and ability to work autonomously with automated processes.

Responsibilities

• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity.
• Conduct physician consultations (peer-to-peer) calls with referring providers.
• Leverage clinical expertise to recommend alternative services or treatments as necessary.
• Collaborate with over 500 EviCore physician colleagues to ensure evidence-based decision making.
• Stay current on healthcare regulations and industry developments.

Skills

Clinical review

Medical knowledge

Communication

Education

MD/DO with Otolaryngology board certification

Tools

Case management software

Job description

The Cigna Group's Evernorth Health Services is seeking a Medical Director (Otolaryngology) to conduct evidence-based medical reviews that support high-quality patient care. You will collaborate with healthcare providers and stay current on regulations while reviewing a wide range of cases from a home-based setup.

Ideal candidates have MD/DO with Otolaryngology board certification, 3+ years of clinical experience, and strong communication skills.