Medical Director - Vascular Surgery - eviCore - Remote
Company: The Cigna Group
Location: Bloomfield
Posted on: May 28, 2023
Job Description:
Looking for an intellectually stimulating role that will
challenge you to use your current knowledge and build new skills?
Join us as a Medical Director at eviCore, where you'll be empowered
to make a difference in the lives of patients by improving the
quality of healthcare nationwide. What you'll do:
- Use your analytical mindset . Provide timely expert medical
review for requests to evaluate the medical necessity of services
that do not meet utilization review criteria. Review appeals for
denied services related to relevant medical experience and our
evidence based guidelines, in accordance with appeal polici es, if
so delegated.
- Be a team player. Work collaboratively with over 400 eviCore
Physician Peers to help ensure patients receive proper care via
evidence based decision making . Provide timely peer-to-peer
discussions with referring physicians to clarify clinical
information and to explain review outcome decisions.
- Create new knowledge with our guidelines and systems, and new
relationships with your peers. You'll start with remote training,
but you're not doing it alone. You'll enjoy a supportive
environment with your peers , mentors, and leadership who want you
to succeed in your new career. About eviCore :
- Cutting edge. Continue learning and growing with the latest and
greatest literature and guidelines in support of making the best
possible decisions for patients.
- Impa ct patient care n ationally. eviCore has one of the
largest Prior Authorization programs in the country, providing you
a chance to impact clinical change on a nationwide scale while
supporting patients in all U.S. time zones
- Strong & Supportive Culture . Our team is very collaborative,
working together to ensure the best possible care for patients. You
can expect to be supported throughout your time with us, especially
in the beginning as you ramp up in your new position as a Medical
Director. Why join us?
- Salaried position with benefits
- Predictable work schedules
- 100% Work at Home full-time opportunity
- Health coverage effective day 1 (including medical, dental,
vision)
- 8 Paid Holiday s plus 23 PTO Days
- 401K with company match
- CME Reimbursement What you should have:
- 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 (ABMS), or America n
Osteopathic Association (AOA)
- Must have a minimum of 5 years relevant clinical experien ce,
beyond residency/fellowship
- Knowledge of app licable state and federal laws. Utilization
Review Accreditation Commission (URAC) and National Committee for
Quality Assurance (NCQA) standards a plus
- The ability to commit to a set, weekly work schedule
- Strong computer skills; ability to work autonomously with
automated processes and computer applications and systems is
requiredIf you will be working at home occasionally or permanently,
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.For this position, we anticipate
offering an annual salary of 188,100 - 313,500 USD / yearly,
depending on relevant factors, including experience and geographic
location.This role is also anticipated to be eligible to
participate in an annual bonus plan.We want you to be healthy,
balanced, and feel secure. That's why you'll enjoy a comprehensive
range of benefits, with a focus on supporting your whole health.
Starting on day one of your employment, you'll be offered several
health-related benefits including medical, vision, dental, and
well-being and behavioral health programs. We also offer 401(k)
with company match, company paid life insurance, tuition
reimbursement, a minimum of 18 days of paid time off per year and
paid holidays. For more details on our employee benefits programs,
visit Life at Cigna Group .About Evernorth Health ServicesEvernorth
Health Services, a division of The Cigna Group, creates pharmacy,
care and benefit solutions to improve health and increase vitality.
We relentlessly innovate to make the prediction, prevention and
treatment of illness and disease more accessible to millions of
people. Join us in driving growth and improving lives.Qualified
applicants will be considered without regard to race, color, age,
disability, sex, childbirth (including pregnancy) or related
medical conditions including but not limited to lactation, sexual
orientation, gender identity or expression, veteran or military
status, religion, national origin, ancestry, marital or familial
status, genetic information, status with regard to public
assistance, citizenship status or any other characteristic
protected by applicable equal employment opportunity laws.If you
require reasonable accommodation in completing the online
application process, please email: for support. Do not email for an
update on your application or to provide your resume as you will
not receive a response.The Cigna Group has a tobacco-free policy
and reserves the right not to hire tobacco/nicotine users in states
where that is legally permissible. Candidates in such states who
use tobacco/nicotine will not be considered for employment unless
they enter a qualifying smoking cessation program prior to the
start of their employment. These states include: Alabama, Alaska,
Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa,
Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio,
Pennsylvania, Texas, Utah, Vermont, and Washington State.
Keywords: The Cigna Group, New England , Medical Director - Vascular Surgery - eviCore - Remote, Executive , Bloomfield, Northeast
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