Medical Director - Post-Acute Care

April 2

🏈 Alabama – Remote

Although this job is listed in Alabama, this company may be open to hiring remote in other states.

🐻 Alaska – Remote

Although this job is listed in Alaska, this company may be open to hiring remote in other states.

+16 more states

🏈 Alabama – Remote 🐻 Alaska – Remote 🌵 Arizona – Remote 🐊 Florida – Remote 🌺 Hawaii – Remote 🥔 Idaho – Remote 🌾 Iowa – Remote 🌪️ Kansas – Remote 🌾 Nebraska – Remote 🏈 Ohio – Remote 🦀 Maryland – Remote 🍂 Massachusetts – Remote 🚗 Michigan – Remote 🔔 Pennsylvania – Remote 🤠 Texas – Remote ⛷️ Utah – Remote 🍁 Vermont – Remote ☕ Washington – Remote

💵 $203.2k - $338.6k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

Apply Now

Receive Emails with Similar Jobs

The Cigna Group

WebsiteLinkedInAll Job Openings

The Cigna Group is a global health company committed to improving the health and vitality of its clients, customers, and patients. With its two divisions, Cigna Healthcare and Evernorth Health Services, the company focuses on enhancing quality of life through healthcare services and pharmacy benefits management. The Cigna Group is dedicated to ethical practices in healthcare and artificial intelligence, and strives to create positive change in the healthcare system. It also emphasizes its Environmental, Social, and Governance (ESG) responsibilities, aiming to impact health equity and foster innovation in healthcare delivery.

10,000+ employees

Founded 1982

⚕️ Healthcare Insurance

💊 Pharmaceuticals

📋 Description

• Provide timely expert medical review of medical necessity requests • Render a clinical opinion about the medical service under review • Participate in proactive peer to peers to assist with appropriate and timely discharge planning • Document all actions related to clinical review sessions • Conduct weekly Case Conferences with nursing and social worker teams • Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications • Support the review of eviCore clinical guidelines • Support and communicate eviCore policies and procedures to the provider community • Testify at ALJ Hearings when your cases are being appealed • Assist with staff educational training and in-service programs

🎯 Requirements

• M.D. or D.O. degree from accredited institution • Minimum of five (5) years of clinical practice experience after completion of all graduate medical education training • Active board certification in Physical Medicine and Rehabilitation • Active unrestricted license to practice medicine in a state or territory of the United States as a utilization review doctor of medicine or doctor of osteopathic medicine • Knowledge of applicable state and federal laws, URAC and NCQA standards, and utilization management • Must be able to type 30 WPM • Proficient computer skills and knowledge of Microsoft Office applications

🏖️ Benefits

• Comprehensive range of benefits • Health-related benefits including medical, vision, dental, and well-being programs • 401(k) with company match • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays