Medical Director - Vascular Surgery - EviCore

The Cigna Group

108d • $203,200 - $338,600

About The Position

The job profile for this position is Utilization Review Medical Principal, which is a Band 5 Senior Contributor Career Track Role. As a Vascular Surgery Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, 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.

Requirements

• M.D. or D.O. with a current, active, U.S. state medical license and board certified in Vascular Surgery recognized by the American Board of Medical Specialties, or American Osteopathic Association.
• Eligible to acquire additional state licensure as required.
• Prefer one of the following state medical licenses but is not required: DC, MD or VA.
• 3 or more years of relevant clinical experience post residency/fellowship required.
• 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.
• In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
• For this position, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

Responsibilities

• 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.

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.
• Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
• Company paid life insurance.
• Tuition reimbursement.
• Minimum of 18 days of paid time off per year.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Master's degree