Medical Director, Post Acute Care
About The Position
As a Medical Director at EviCore, part of Evernorth Health Services and The Cigna Group, you will use your clinical expertise to conduct evidence-based medical reviews for patient care. You will review cases for medical necessity using EviCore’s case management software, consult with referring providers, and recommend alternative services or treatments when appropriate. You will collaborate with physician colleagues to support evidence-based decisions and help ensure patients receive proper care. Training begins remotely in a structured environment with support from trainers, mentors, and leadership. The position is 100% work from home and follows a set weekly schedule, Monday through Friday.
Requirements
- M.D. or D.O. degree.
- Current, active U.S. state medical license.
- Board certification in PM&R, Family Medicine, Emergency Medicine, or Internal Medicine, recognized by the American Board of Medical Specialties or American Osteopathic Association.
- Eligibility to acquire additional state licensure as required.
- Three years of relevant clinical experience after residency or fellowship.
- Knowledge of applicable state and federal laws.
- Ability to commit to a set weekly work schedule, Monday through Friday.
- Strong computer skills, including the ability to work autonomously with automated processes, computer applications, and systems.
- Good communication and typing skills, and strong clinical judgment.
- Ability to meet the physical demands of the role, including typing, speaking, and listening 100% of the time.
- Use of a company-provided encrypted workstation connected by hard wire to a modem or router; wireless connection is not permitted.
- For home work, cable broadband or fiber optic internet service with at least 10 Mbps download and 5 Mbps upload speeds.
Nice To Haves
- Knowledge of Utilization Review Accreditation Commission and National Committee for Quality Assurance standards.
Responsibilities
- Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity using EviCore’s case management software.
- Conduct peer-to-peer physician consultation calls with referring providers about evidence-based medical necessity and the appropriateness of requested services or treatments.
- Recommend alternative services or treatments as necessary, drawing on clinical expertise.
- Collaborate with EviCore physician colleagues to support evidence-based decision-making and help ensure patients receive proper care.
- Participate in structured remote training with support from trainers, mentors, and leadership.
Benefits
- Benefits start on day one.
- Predictable work schedules.
- 100% work from home.
- Eight paid holidays and 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.
- Medical, vision, and dental benefits.
- Well-being and behavioral health programs.
- Company-paid life insurance.
- Tuition reimbursement.
- Leaves of absence.
- Annual bonus plan eligibility.
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What This Job Offers
Job Type
Full-time
Career Level
Senior
Education Level
Ph.D. or professional degree
