Medical Director -Pediatric Surgery- Evicore

* Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Pediatric Surgery Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for patient care.

Collaborate with healthcare providers and stay current on healthcare regulations and industry developments as you review a wide range of cases.

This role offers you the opportunity to build new skills while enhancing the health and vitality of others.

We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment.

Drive growth in your career with our innovative team.


* How you'll make a difference:
+ You'll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
+ Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on eviCore's case management software.
+ Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
+ Leverage your clinical expertise to recommend alternative services or treatments as necessary.
+ Work collaboratively with over 500 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

What you'll enjoy about working here:
+ Benefits start on day one
+ Predictable work schedules
+ 100% work from home
+ 8 Paid Holidays + 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

Requirements:
+ M.D.

or D.O.

with a current, active, U.S.

state medical license and board certified in Radiation Oncology , recognized by the American Board of Medical Specialties, or American Osteopathic Association
+ Eligible to acquire additional state licensureas required
+ Prefer one of the following state medical licenses but is not required: DC, MD or VA
+ 5 years of relevant clinical experience post residency/fellowship
+ Knowledge of applicable state federal laws
+ Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus
+ Ability to commit to a set, weekly work schedule (Monday through Friday)
+ Strong computer skills: ability to work autonomouslywith automated processes, computer applications, and systems
+ Meet physical demands of the role including, but not limited to, ...