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 a 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 500 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.
About the Radiology program:
Cutting edge. Continue learning and growing with the latest and greatest literature and guidelines.
Impact patient care nationally. eviCore has one the largest Radiology Prior Authorization program in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones
Career opportunities and growth. Our Medical Directors have career growth opportunities not only within eviCore, but in the larger Cigna enterprise as well.
Why join us?
Salaried position with benefits
Predictable work schedules
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 Radiology, recognized by the American Board of Medical Specialties (ABMS), or American Osteopathic Association (AOA)
Have at least 5 years relevant, clinical experience, (post 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 role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit [Register to View] at Cigna Group.
About Evernorth Health Services
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.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: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.