Medical Director – Gastroenterology – Evicore - Remote

About the role

As a Medical Director at EviCore, part of Evernorth Health Services, a division of The Cigna Group, you’ll leverage your background in Gastroenterology to deliver evidence-based medical reviews that support high-quality 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.

Responsibilities

• 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.

Requirements

• M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Gastroenterology.
• Eligible to acquire additional state licensure as required.
• 3 years of relevant clinical experience post residency/fellowship.
• Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus.
• Able to commit to a set, weekly work schedule (Monday through Friday).
• Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems.
• Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time.

Qualifications

• Ability to commit to a set, weekly work schedule (Monday through Friday).
• Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems.
• Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time.

Skills

• Strong clinical judgment.
• Good communication, technology, and typing skills.

Benefits

• 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.

Pay

An annual salary of $207,800 - $346,300 USD/yearly, depending on relevant factors, including experience and geographic location.

Schedule

This role is anticipated to be eligible to participate in an annual bonus plan.