EviCore
Healthcare
MedicalDirector-Pathology
Neural analysis suggests this role is
optimal for Director candidates.
“Medical Director - Pathology at EviCore. Skills: Pathology, Medical reviews, Clinical judgment. Complete evidence-based medical case reviews. Conduct physician consultation calls”
What You'll Achieve.
Support high-quality patient care
Industry & Context.
Hard-wire connected to modem or router, Cable broadband or fiber optic internet
What They're Looking For.
Must Have
M. D. or D. O., Active U. S. medical license, Board certification (ABMS or AOA), 3 years clinical experience post residency/fellowship, Meet physical demands of role
Nice to Have
Knowledge of applicable state and federal laws, URAC standards knowledge, NCQA standards knowledge, Eligible to acquire additional state licensure
What You'll Do.
Complete evidence-based medical case reviews
Conduct physician consultation calls
Discuss medical necessity
Discuss appropriateness of service
Recommend alternative services or treatments
Work collaboratively with physician colleagues
How You'll Work.
Team & Collaboration
Collaborate with healthcare providers; Work with EviCore physician colleagues
Full Job Description
Do 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, you’ll leverage your background in pathology—including 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. 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 you’ll make a difference:** * 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 over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making. **What you’ll 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
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