[Hiring] Medical Director – Pediatric Pulmonology @Cigna Healthcare

Role Description

Do you crave an intellectually stimulating role that lets you apply your clinical expertise while continuing to grow and make an impact? As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll leverage your background in Pediatric Pulmonology to deliver evidence-based medical reviews that support high-quality patient care.

• Collaborate with healthcare providers and stay current on healthcare regulations and industry developments.
• Review a wide range of cases.
• Build new skills while enhancing the health and vitality of others.
• Detail-oriented individual with good communication, technology, and typing skills.
• Strong clinical judgment.
• Drive growth in your career with our innovative team.

How you’ll make a difference:

• Start training remotely in a structured environment with support from trainers, mentors, and leadership.
• 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 the requested service or treatment.
• 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.

Qualifications

• M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Pediatric Pulmonology.
• Eligible to acquire additional state licensure as required.
• 3 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 is a plus.
• Ability to commit to a set, weekly work schedule (Monday through Friday).
• Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems.
• Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time.
• In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
• If working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Requirements

• Annual salary of 207,800 - 346,300 USD / yearly, depending on relevant factors, including experience and geographic location.
• Eligible to participate in an annual bonus plan.

Benefits

• 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.

Company Description

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.