Medical Director - Pediatric Pulmonology

September 26

Apply Now

Receive Emails with Similar Jobs

The Cigna Group

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Description

• Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? • As a Pediatric Pulmonology Medical Director at eviCore, part of Evernorth Health Services, you'll use your clinical know-how to provide evidence-based medical reviews for patient care. • Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases. • This role offers you the opportunity to build new skills while enhancing the health and vitality of others. • We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. • Drive growth in your career with our innovative team. • You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success. • 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.

Requirements

• M.D. or D.O. with a current, active, U.S. state medical license and board certified in Pediatric Pulmonology • Eligible to acquire additional state licensure as required • 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 • 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

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