Medical Director – Pediatric Endocrinology – Evicore - Remote

About the Role

The Medical Director role at The Cigna Group is a unique opportunity for a skilled Pediatric Endocrinologist to apply their clinical expertise in a remote setting. As a Medical Director, you will be responsible for delivering evidence-based medical reviews that support high-quality patient care. You will collaborate with healthcare providers, stay current on healthcare regulations and industry developments, and review a wide range of cases. This role offers the opportunity to build new skills while enhancing the health and vitality of others.

The Medical Director will be part of a team of over 500 EviCore physician colleagues, working together to ensure patients receive proper care via evidence-based decision making. You will have the opportunity to work autonomously, using automated processes, computer applications, and systems to complete your work.

The Cigna Group is committed to supporting the growth and development of its employees, with a focus on providing a comprehensive range of benefits and opportunities for career advancement.

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 other EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making
• Stay current on healthcare regulations and industry developments, including applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards
• Commit to a set, weekly work schedule (Monday through Friday)
• Develop and maintain strong relationships with healthcare providers and other stakeholders
• Participate in ongoing training and education to stay up-to-date on the latest medical research and technologies
• Utilize strong computer skills, including the ability to work autonomously with automated processes, computer applications, and systems
• Meet the physical demands of the role, including typing, speaking, and listening for 100% of the time

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 Pediatric Endocrinology
• 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
• Ability to commit to a set, weekly work schedule (Monday through Friday)
• Strong computer skills, including the ability to work autonomously with automated processes, computer applications, and systems
• Ability to meet the physical demands of the role, including typing, speaking, and listening for 100% of the time
• Excellent communication and interpersonal skills
• Strong clinical judgment and decision-making skills

Nice to Have

• Experience working in a remote or telehealth setting
• Familiarity with EviCore's case management software
• Knowledge of healthcare regulations and industry developments, including applicable state and federal laws
• Experience with quality improvement initiatives and projects
• Certification in a related field, such as healthcare management or medical informatics

Benefits and Perks

• Comprehensive range of benefits, including medical, vision, dental, and well-being and behavioral health programs
• 401(k) with company match
• Reimbursement for continuing medical education
• Career growth opportunities across the enterprise
• Predictable work schedules
• 100% work from home
• 8 Paid Holidays +
• 23 PTO Days
• Annual bonus plan eligibility
• Opportunity to work with a team of experienced healthcare professionals
• Access to the latest medical research and technologies
• Professional development opportunities, including training and education programs
• Recognition and reward programs for outstanding performance

• Tip: Make sure you have a strong foundation in evidence-based medicine and a knack for technology, as these skills are highly valued in this role.
• Tip: Be prepared to discuss your experience working with healthcare regulations and industry developments, and how you stay current on these topics.
• Tip: Highlight your ability to work autonomously and collaboratively, as well as your strong communication and interpersonal skills.
• Tip: Consider highlighting any experience you have working in a remote or telehealth setting, as well as any certifications or training you have in related fields.
• Tip: Be prepared to discuss your approach to quality improvement initiatives and projects, and how you have applied these skills in previous roles.
• Tip: Research The Cigna Group and its values, and be prepared to discuss how your skills and experience align with these values.
• Tip: Make sure you have a clear understanding of the job requirements and responsibilities, and be prepared to ask questions during the interview process.