Medical Director, Post Acute Care

Cigna Healthcare • Tennessee Work at Home, TN

2d • $207,800 - $346,300 • Remote

About The Position

As a Medical Director at EviCore, part of Evernorth Health Services and The Cigna Group, you will use clinical expertise to conduct evidence-based medical reviews for patient care. The role involves collaborating with healthcare providers, keeping current with healthcare regulations and industry developments, and reviewing a wide range of cases. 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 the American Osteopathic Association.
• Eligibility to acquire additional state licensure as required.
• Three years of relevant clinical experience post-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 and ability to work autonomously with automated processes, computer applications, and systems.
• Good communication, technology, typing, and clinical judgment skills.
• Ability to meet the role’s physical demands, including typing, speaking, and listening 100% of the time.
• Use 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 speeds of at least 10 Mbps download and 5 Mbps upload.

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 to discuss evidence-based medical necessity and the appropriateness of requested services or treatments.
• Recommend alternative services or treatments when appropriate, using clinical expertise.
• Collaborate with EviCore physician colleagues to help ensure patients receive appropriate care through evidence-based decision-making.
• Participate in remote training supported by trainers, mentors, and leadership.

Benefits

• Benefits begin on the first day of employment.
• 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.
• Eligibility to participate in an annual bonus plan.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Ph.D. or professional degree