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