EviCore, part of Evernorth Health Services within The Cigna Group, is hiring a Medical Director specializing in Orthopedic Spine Surgery. In this clinical role, you will apply your expertise to provide evidence-based medical reviews, collaborate with healthcare providers, and ensure patients receive appropriate care. You will stay current on regulations and review a wide range of cases.
What You'll Do
- Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity using EviCore’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.
- Leverage clinical expertise to recommend alternative services or treatments as necessary.
- Work collaboratively with over 500 EviCore physician colleagues to ensure evidence-based decision making.
What We're Looking For
- M.D. or D.O. with a current, active, U.S. state medical license.
- Board certified in Orthopedic Spine Surgery, 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 and federal laws.
- 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 typing, speaking, and listening 100% of time.
- Internet connection obtained through a cable broadband or fiber optic provider with speeds of at least 10Mbps download/5Mbps upload.
- Use of company-provided encrypted workstation hard-wire connected to a modem or router (wireless not permitted).
Nice to Have
- Utilization Review Accreditation Commission and National Committee for Quality Assurance standards knowledge.
Technical Stack
- EviCore’s case management software
Team & Environment
Collaborate with over 500 EviCore physician colleagues. You'll join a structured training environment with support from trainers, mentors, and leadership.
Benefits & Compensation
- Compensation range: $203,200 - $338,600 yearly.
- 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.
- Comprehensive health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
- Company paid life insurance.
- Tuition reimbursement.
Work Mode
This is a fully remote position.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to 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.
