Medical Director – Cardiology – Evicore - Remote
WFA Digital Insight
With the rise of remote healthcare, demand for skilled medical directors has grown significantly. The Cigna Group's commitment to innovation and patient care makes this role stand out. As a medical director in cardiology, you'll bring your expertise to a team of over 500 physicians, ensuring high-quality patient care through evidence-based decision making. Candidates should be aware of the importance of staying current on healthcare regulations and industry developments, as well as possessing strong digital skills for success in this role.
Job Description
About the Role
The Medical Director role at The Cigna Group is a unique opportunity for a skilled cardiology professional to apply their clinical expertise in a remote setting. As part of Evernorth Health Services, a division of The Cigna Group, you will be responsible for delivering evidence-based medical reviews that support high-quality patient care. This role offers the chance to collaborate with healthcare providers, stay current on industry developments, and drive growth in your career.The Cigna Group is committed to innovation and patient care, making this role an excellent fit for those who share these values. With a structured training environment and support from trainers, mentors, and leadership, you'll be set up for success from the start. As a remote worker, you'll enjoy the flexibility of working from home, with predictable schedules and a comprehensive benefits package.
What You Will Do
- 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
- Stay current on healthcare regulations and industry developments
- Manage your time effectively to meet deadlines and priorities
- Utilize digital tools and software to streamline workflows and communicate with team members
- Develop and maintain a thorough understanding of EviCore's policies and procedures
- Participate in quality improvement initiatives to continuously enhance patient care
What We Are Looking For
- M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Cardiovascular Disease or Interventional Cardiology
- 3 or more years of relevant clinical experience post residency/fellowship
- Eligibility to acquire additional state licensure as required
- Strong computer skills, including ability to work autonomously with automated processes, computer applications, and systems
- Excellent communication and typing skills
- Ability to commit to a set, weekly work schedule (Monday through Friday)
- Knowledge of applicable state and federal laws, Utilization Review Accreditation Commission, and National Committee for Quality Assurance standards
- Ability to meet physical demands of the role, including typing, speaking, and listening 100% of the time
Nice to Have
- Experience with EviCore's case management software or similar systems
- Familiarity with healthcare regulations and industry standards
- Certification in a related specialty, such as cardiovascular disease or interventional cardiology
- Experience working in a remote or virtual environment
Benefits and Perks
- Comprehensive benefits package, including medical, vision, dental, and well-being and behavioral health programs
- 401(k) with company match
- Reimbursement for continuing medical education
- Predictable work schedules and a set weekly work schedule
- 100% remote work arrangement, with the flexibility to work from home
- Paid holidays and PTO days
- Opportunity for career growth and professional development
- Collaborative and supportive team environment
- Access to cutting-edge technology and digital tools
- Recognition and rewards for outstanding performance
How to Stand Out
- Ensure you have a stable and secure internet connection, as you will be working remotely and handling sensitive patient information.
- Develop a strong understanding of EviCore's case management software and digital tools to streamline your workflow and communicate effectively with team members.
- Prepare to discuss your clinical expertise and experience in cardiology during the interview process, highlighting specific examples of how you've applied evidence-based decision making in your previous roles.
- Be prepared to commit to a set weekly work schedule and manage your time effectively to meet deadlines and priorities.
- Consider highlighting any experience you have with quality improvement initiatives or healthcare regulations, as these are valuable assets in this role.
- Make sure you have a dedicated and distraction-free workspace at home, with a reliable computer and necessary software to perform your job duties.
- Don't hesitate to ask about opportunities for career growth and professional development during the interview process, as The Cigna Group is committed to supporting the long-term success of its employees.
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