Medical Director - Neonatal-Perinatal Medicine - EviCore - Remote

Overview

Medical Director - Neonatal-Perinatal Medicine - EviCore - Remote

Join to apply for the Medical Director - Neonatal-Perinatal Medicine - EviCore - Remote role at Evernorth Health Services.

Responsibilities

• 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 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 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

Qualifications

• M.D. or D.O. with a current, active, U.S. state medical license and board certified in Neonatal-Perinatal Medicine, recognized by the American Board of Medical Specialties or American Osteopathic Association
• Eligible to acquire additional state licensure as required
• 3 or more years of relevant clinical experience post residency/fellowship required
• 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, computer applications, and systems
• Meet physical demands of the role including typing, speaking, and listening
• Company-provided encrypted workstation with hard-wired connection required

Salary and Benefits

Salary range: 203,200 - 338,600 USD per year, depending on experience and geographic location. Eligible to participate in an annual bonus plan.

• 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

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 of illness and disease more accessible to millions of people.