Medical Director - Pathology - EviCore

divh2Medical Director/h2pDo 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 EviCore, part of Evernorth Health Services, a division of The Cigna Group, youll leverage your background in pathologyincluding Anatomic Pathology, Clinical Pathology, Cytopathology, Dermatopathology, Hematopathology, Molecular Genetic Pathology, or Neuropathology to deliver evidence-based medical reviews that support high-quality 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. Were 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./ppHow youll make a difference:/pulliYoull start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success./liliComplete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCores case management software./liliConduct physician consultation (peer-to-peer) calls with referring providers to discuss evidencebased medical necessity and appropriateness of the requested service or treatment./liliLeverage your clinical expertise to recommend alternative services or treatments as necessary./liliWork collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making./li/ulpWhat youll enjoy about working here:/pulliBenefits start on day one/liliPredictable work schedules/lili100% work from home/lili8 Paid Holidays + 23 PTO Days/lili401(K) with company match/liliReimbursement for continuing medical education/liliCareer growth opportunities across the enterprise/liliNetworking with peers across multiple medical specialties/li/ulpRequirements:/pulliM.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in one or more of the following: Anatomic Pathology, Clinical Pathology, Cytopathology, Dermatopathology, Hematopathology, Molecular Genetic Pathology, or Neuropathology./liliEligible to acquire additional state licensure as required/liliClinical experience required/lili3 years of relevant clinical experience post residency/fellowship/liliKnowledge of applicable state and federal laws, Utilization Review Accreditation Commission and National Committee for Quality Assurance standards is a plus/liliAbility to commit to a set, weekly work schedule (Monday through Friday)/liliStrong computer skills: ability to work autonomously with automated processes, computer applications, and systems/liliMeet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of time/liliIn 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./li/ulpIf 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 10Mbps download/5Mbps upload./ppThis role is also anticipated to be eligible to participate in an annual bonus plan./ppAt The Cigna Group, youll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, youll 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 and paid holidays./ppQualified 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./ppThe Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State./ppQualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances./p/div