Medical Director - EviCore - Remote (Family Medicine, Internal Medicine or Emerg

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Job Overview

The position open at The Cigna Group is for a Medical Director at eviCore Health. This role offers an intellectually stimulating experience where you can utilize your clinical expertise to improve the lives of others while developing new skills. The job focuses on providing evidence-based medical reviews for patient care, collaborating with healthcare professionals, and staying current with industry developments.

Responsibilities

As a Medical Director, your primary goal will be to drive evidence-based decision-making for patient care within the family medicine, internal medicine, or emergency medicine sectors. This role includes important responsibilities:

• Conducting specialized, evidence-based medical case reviews using eviCore's case management software.
• Engaging in peer-to-peer calls with referring providers to discuss the medical necessity and appropriateness of requested services.
• Utilizing your clinical acumen to recommend alternative services or treatments as required.
• Collaborating with a team of over 500 eviCore physician colleagues to facilitate proper patient care in alignment with best practices.

Qualifications

To be considered for this role, candidates are expected to meet specific educational and professional qualifications:

• An M.D. or D.O. degree with an active medical license in the U.S. and board certification in either Family Medicine, Internal Medicine, or Emergency Medicine.
• At least 5 years of relevant clinical experience post-residency or fellowship, showcasing strong clinical judgment and decision-making skills.
• Familiarity with Utilization Review Accreditation Commission standards and National Committee for Quality Assurance standards is advantageous.
• Strong computer proficiency along with the ability to work independently using automated systems and applications is required.
• Candidates should be able to commit to a fixed weekly schedule (Monday through Friday).

Work Environment

This role operates remotely, facilitating a flexibility that is rare in the field. Initially, you will undergo training in a structured environment supported by trainers, mentors, and leadership to ensure success in your new role. Key highlights include:

• 100% work from home: Ideal for those seeking flexibility without sacrificing employment stability.
• Predictable work schedules, making it easier to balance personal and professional responsibilities.

Benefits

EviCore offers a comprehensive benefits package, beginning on your first day. Here is a summary of what you can expect:

• Health-related benefits including medical, vision, and dental insurance.
• Additional well-being and behavioral health programs.
• 401(k) retirement plan with company match.
• Paid time off: Enjoy 23 PTO days plus 8 paid holidays annually.
• Continuing medical education reimbursement, fostering growth and development in your career.
• Competitive annual salary range of $203,200 - $338,600, with potential participation in an annual bonus plan based on performance and other relevant factors.

Growth Opportunities

Joining EviCore as a Medical Director opens multiple avenues for career advancement across the organization. You will have a chance to network with peers in various medical specialties, enhancing both your professional footprint and personal growth within the healthcare industry.

Additional Notes

The position also requires:

• A stable internet connection obtained through a cable broadband or fiber optic service, with minimum speeds of 10 Mbps download and 5 Mbps upload.
• Compliance with health and safety regulations and requirements as established by the company, including requirements regarding tobacco use.

Applications are encouraged from diverse backgrounds, and all qualified applicants will be considered without regard to race, color, age, disability, sex, or other protected statuses. Reach out for accommodations in the application process as needed.

EviCore, part of Evernorth Health Services, strives to enhance health and wellness through innovative solutions. By joining their team, you can contribute to impactful health improvements while enjoying a meaningful career.

This job offer was originally published on himalayas.app