Medical Director - Orthopedic Spine Surgeon

December 2

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The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Description

• Use your clinical expertise to provide evidence-based medical reviews for patient care • Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore’s case management software • Conduct physician consultation calls with referring providers to discuss evidence-based medical necessity • Recommend alternative services or treatments as necessary • Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care

Requirements

• M.D. or D.O. with a current, active, U.S. state medical license and board certified in Orthopedic Spine Surgery • Prefer one of the following state medical licenses but is not required: DC, MD or VA • 5 years of relevant clinical experience post residency/fellowship • Knowledge of applicable state federal laws • Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus • Strong computer skills • Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time • Company provided encrypted-workstation is required to be hard-wire connected to a modem or router

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