Medical Director - Pediatric Surgery - EviCore

Overview

Medical Director - Pediatric Surgery - Evi Core, part of Evernorth Health Services, a division of The Cigna Group. This role involves providing evidence-based medical reviews for patient care, collaborating with healthcare providers, and staying current on healthcare regulations and industry developments. The position emphasizes clinical judgment, strong communication, and the ability to work with a large network of physician colleagues to ensure patients receive appropriate, evidence-based care.

• Start training remotely in a structured environment with support from trainers, mentors, and leadership.
• Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on Evi Core’s case management software.
• Conduct physician consultations (peer-to-peer) with referring providers to discuss evidence-based medical necessity and appropriateness of the requested service or treatment.
• Leverage clinical expertise to recommend alternative services or treatments as necessary.
• Collaborate with over 500 Evi Core physician colleagues to ensure patients receive proper care via evidence-based decision making.

• 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

• M.D. or D.O. with a current, active U.S. state medical license and board certification in Pediatric Surgery (American Board of Medical Specialties or American Osteopathic Association)
• Eligible to acquire additional state licensure as required
• Prefer one of the following state medical licenses but not required: DC, MD, or VA
• 3 or more 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
• Ability to commit to a set, weekly work schedule (Monday through Friday)
• Strong computer skills and ability to work autonomously with automated processes and systems
• Meet physical demands of the role including typing, speaking, and listening
• Company-provided encrypted workstation required to be hard-wired connected; wireless not permitted

If you will be working from home, an internet connection via cable broadband or fiber optic with at least 10 Mbps download/5 Mbps upload is required.

Salary range: 203, USD per year, depending on experience and geographic location. Eligible for an annual bonus plan.

• Comprehensive benefits starting on day one, including medical, vision, dental, and well-being programs
• 401(k) with company match, company-paid life insurance, tuition reimbursement
• Minimum of 18 days of paid time off per year and paid holidays
• Details on employee benefits programs available at Life at Cigna Group

EEO statement: Qualified applicants will be considered without regard to race, color, age, disability, sex, pregnancy or related medical conditions, veteran status, religion, national origin, or any other characteristic protected by applicable equal employment opportunity laws. Reasonable accommodation in completing the online application process is available upon request.