Medical Director - Pathology - EviCore

Role Overview

Do you crave an intellectually stimulating role that lets you apply your clinical expertise while continuing to grow and make an impact? As a Medical Director at Evi Core, part of Evernorth Health Services, you’ll leverage your background in pathology—including Anatomic Pathology, Clinical Pathology, Cytopathology, Dermatopathology, Hematopathology, Molecular Genetic Pathology, or Neuropathology—to deliver evidence‑based medical reviews that support high‑quality patient care.

• Complete time‑sensitive, specialized evidence‑based medical case reviews for medical necessity on Evi Core’s case management software.
• Conduct physician consultation (peer‑to‑peer) calls with referring providers to discuss evidence‑based medical necessity and appropriateness of requested services or treatments.
• 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.
• Start training remotely in a structured environment with support from trainers, mentors, and leadership.
• Work autonomously with automated processes, computer applications, and systems.
• Meet physical demands of typing, speaking, and listening 100% of the time.

• M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in one or more of the listed pathology subspecialties.
• Eligible to acquire additional state licensure as required.
• Minimum of 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 (plus).
• Ability to commit to a set, weekly work schedule (Monday through Friday).
• Strong computer skills and the ability to work autonomously with automated processes.
• Must use a company‑provided encrypted workstation that is hard‑wired to a modem or router; wireless connection not permitted.
• Home‑office internet connection must be cable broadband or fiber optic with speeds of at least 10
  
  Mbps download/5
  
  Mbps upload.

• Annual salary range: 207,800 – 346,300
  
  USD, depending on experience and location.
• Eligible to participate in an annual bonus plan.
• Benefits start on day one, including medical, vision, dental, well‑being and behavioral health programs.
• 401(k) with company match.
• Company‑paid life insurance.
• Tuition reimbursement.
• Paid time off: at least 18 days per year, 8 paid holidays, additional PTO.
• Full remote work (100% from home) and predictable work schedules.
• Career growth opportunities across the enterprise and networking with peers across multiple medical specialties.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy), related medical conditions (including lactation), sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. Applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.