Medical Director – Remote Jobs California

Job Type: Medical Director from home
Location: California work from home
Company: Cigna

Responsibilities:

• Apply your critical thinking. For requests to assess the medical necessity of treatments that do not fulfill utilization review requirements, promptly provide a medical expert review. In compliance with appeal policies and, if so delegated, relevant medical experience and our evidence-based standards, review appeals for refused services.
• Put the team first. Collaborate with more than 500 eviCore physician peers to guarantee that patients receive the best treatment possible through the use of evidence-based decision-making. To clarify clinical facts and to explain review outcome judgments, offer prompt peer-to-peer talks with referring physicians.
• Create new relationships with your peers while using our policies and processes to gain new knowledge. Although you won’t be working alone, you’ll start with remote instruction. With peers, mentors, and leadership who want you to succeed in your new career, you’ll experience a supportive environment.

Why come along?

• Position with a salary and benefits
• Work schedules that are predictable
• Opportunities to work from home full-time are available.
• Health insurance starting on Day 1 (including medical, dental, vision)
• 8 Paid Holidays and 23 Paid Time Off
• With business match, 401(k)
• CME Compensation

Requirements:

• A board-certified neurosurgeon who holds a current, valid, state-issued medical license in the United States and is a member of either the American Osteopathic Association (AOA) or the American Board of Medical Specialties (ABMS). (AOA)
• Possess at least 5 years of relevant clinical experience (after fellowship or residency).
• Understanding of relevant state and federal laws. Standards from the National Committee for Quality Assurance (NCQA) and Utilization Review Accreditation Commission (URAC) are advantageous.
• The capacity to adhere to a regular, weekly schedule of labor (Monday through Friday)
• Strong computer skills and the ability to work independently with computer applications and systems are necessary.