Medical Director - Infectious Disease
Florida Work at Home
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 an Infectious Disease Medical Director at eviCore, part of Evernorth Health Services, a division of The Cigna Group, youâll 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 youâll make a difference:
- Youâll 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 eviCoreâs case management software.
- Conduct physician consultation (peer-to-peer) calls with referring providers to discuss evidenceâbased 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 eviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.Â
What youâll 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
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Requirements:
- M.D. or D.O. with a current, active, U.S. state medical license and board certified in Infectious Disease, recognized by the American Board of Medical Specialties, or American Osteopathic Association
- Eligible to acquire additional state licensure as required
- 5 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)Â
- 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 âŚ
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100% work from home Holidays Internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload Internet connection requirements
Benefits/Perks401(k) with match 8 Paid Holidays + 23 PTO Days Annual bonus Annual bonus plan Career growth opportunities CME reimbursement Company Paid Life Insurance Comprehensive range of benefits Dental Health benefits Health-related benefits Life Insurance Medical Minimum of 18 days of paid time off per year Paid holidays Paid Time Off Predictable work schedules PTO Days Reimbursement for continuing medical education Tuition reimbursement Vision Well-being and behavioral health programs Work From Home
Tasks- Collaborate with healthcare providers
- Conduct medical reviews
- Ensure patients receive proper care
- Physician consultation
- Provide evidence-based medical reviews
- Recommend alternative services
- Recommend alternative services or treatments
- Recommend alternative treatments
- Utilization review
Automated processes Behavioral health Case Management Case Management Software Clinical Clinical expertise Clinical Judgment Communication Computer Computer Applications Consultation Decision making Evidence-Based Decision Making Evidence-based medical reviews Healthcare Healthcare Regulations Insurance Leadership Listening Management Medical Case Reviews Medical necessity Pharmacy Physician Consultation Quality Assurance Technology Training Typing Utilization Review
Experience5 years
Education CertificationsAmerican Board of Medical Specialties American Osteopathic Association Board Certified
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9