Job Summary
Job Description
Looking for an intellectually stimulating role that will challenge you to use your current knowledge and build new skills? Join us as an Associate Medical Director at eviCore, where you’ll be empowered to make a difference in the lives of patients by improving the quality of healthcare nationwide.
What you’ll do:
Use your analytical mindset. Provide timely expert medical review for requests to evaluate the medical necessity of services that do not meet utilization review criteria. Review appeals for denied services related to relevant medical experience and our evidence based guidelines, in accordance with appeal policies, if so delegated.
Be a team player. Work collaboratively with over 400 eviCore Physician Peers to help ensure patients receive proper care via evidence based decision making. Provide timely peer-to-peer discussions with referring physicians to clarify clinical information and to explain review outcome decisions.
Create new knowledge with our guidelines and systems, and new relationships with your peers. You’ll start with remote training, but you’re not doing it alone. You’ll enjoy a supportive environment with your peers, mentors, and leadership who want you to succeed in your new career.
Why join us?
Salaried position with benefits
Predictable work schedules: No nights, no weekends, no on call
100% Work at Home with full-time opportunities available
Health coverage effective day 1 (including medical, dental, vision)
8 Paid Holidays plus 23 PTO Days
401K with company match
CME Reimbursement
What you should have:
M.D. or D.O. with a current, active, U.S. state medical license and board certified in Endocrinology, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA)
Recent practice experience in direct patient care (within the past 18 months)
Must have a minimum of 5 years clinical experience, beyond residency/fellowship
Knowledge of applicable state and federal laws. Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA)standards a plus
The ability to commit to a set, weekly work schedule (Monday through Friday)
Strong computer skills; ability to work autonomously with automated processes and computer applications and systems is required
This position is not eligible to be performed in Colorado.
This role is WAH/Flex which allows most work to be performed at home. Employees must be fully vaccinated if they choose to come onsite.
This position is not eligible to be performed in Colorado.
About Cigna
Cigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you’ll enjoy meaningful career experiences that enrich people’s lives. What difference will you make?
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: [Register to View] for support. Do not email [Register to View] for an update on your application or to provide your resume as you will not receive a response.