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Medical Director -Orthopedic Surgeon - Work from home - full-time eviCore

Company: eviCore Healthcare
Location: Bloomfield
Posted on: January 27, 2023

Job Description:

Orthopedics opening in Bloomfield, Connecticut. This and other physician jobs brought to you by DocCafe

Looking for an intellectually stimulating role that will challenge you to use your current knowledge and build new skills? Join us as an 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 500 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 the Radiology program:
      • Cutting edge. Continue learning and growing with the latest and greatest literature and guidelines.
        • Impa ct patient care n ationally. eviCore has one the largest Radiology Prior Authorization program in the country, providing you a chance to impact clinical change on a nationwide scale while supporting patients in all U.S. time zones
        • Career opportunities and growth. Our Medical Directors have career growth opportunities not only within eviCore, but in the larger Cigna enterprise as well. Why join us?
          • Salaried position with benefits
          • Predictable work schedules
          • 100% Work at Home with ful l-time opportunities available
          • 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 Orthopedic Surgery , recognized by the American Board of Medical Specialties (ABMS), or America n Osteopathic Association (AOA)
                • Recent practice experience in direct patient care (within the past 18 months)
                • Must have a minimum of 5 years 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 (Monday through Friday)
                • 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 .About CignaCigna Corporation exists to improve lives. We are a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Together, with colleagues around the world, we aspire to transform health services, making them more affordable and accessible to millions. Through our unmatched expertise, bold action, fresh ideas and an unwavering commitment to patient-centered care, we are a force of health services innovation. When you work with us, or one of our subsidiaries, you'll enjoy meaningful career experiences that enrich people's lives. What difference will you make?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.Cigna 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: eviCore Healthcare, New England , Medical Director -Orthopedic Surgeon - Work from home - full-time eviCore, Healthcare , Bloomfield, Northeast

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