Medical Director, Post Acute Care

** Job Description*
* Do you crave an intellectually stimulating job that allows you to leverage your clinical expertise while developing new skills and improving the lives of others? Then look no further! As a Medical Director at Evi Core, part of Evernorth Health Services, a division of The Cigna Group, you'll use your clinical know-how to provide evidence-based medical reviews for 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. We're seeking a detail-oriented individual with good communication, technology, and typing skills, as well as strong clinical judgment. Drive growth in your career with our innovative team.

** How you'll make a difference:*
* - You'll 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 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 the requested service or treatment.

- Leverage your clinical expertise to recommend alternative services or treatments as necessary.

- Work collaboratively with over 500 Evi Core physician colleagues to help ensure patients receive proper care via evidence-based decision making.

** What you'll enjoy about working here:*
* - 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

** Requirements:*
* - M.D. or D.O. with a current, active, U.S. state medical license and board certified in PM&R, Family Medicine, Emergency Medicine and Internal Medicine, recognized by the American Board of Medical Specialties, or American Osteopathic Association

- Eligible to acquire additional state licensure as required

- 3 years of relevant clinical experience post residency/fellowship

- Knowledge of applicable state 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: 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

- In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10

Mbps download/5

Mbps upload.

For this position, we anticipate offering an annual salary of 207, USD / yearly, depending on relevant factors, including experience and geographic location.

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

At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year, paid holidays, and leaves of absence.

For more details on our employee benefits programs,  () .

** About Evernorth Health Services*
* Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment…