Medical Director – Maternal-Fetal Medicine, OB/GYN

The Cigna Group

. Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity using EviCore’s case management software .

Posted 9/24/2026full-timeRemote • United StatesLead💰 $207,800 - $346,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in conducting evidence-based medical case reviews and physician consultations, with a strong foundation in Maternal-Fetal Medicine and compliance with healthcare regulations. Proficient in utilizing case management software and maintaining effective communication with healthcare providers.

Highest-signal resume keywords

M.D. Or D.O. DegreeBoard Certification In Maternal-Fetal Medicine3+ Years Clinical ExperienceKnowledge Of Healthcare RegulationsStrong Computer Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Tools & Technologies

EviCore Case Management Software

Certifications & Qualifications

Current U.S. Medical LicenseBoard Certification (ABMS Or AOA)

Industry Keywords

Medical NecessityPeer-To-Peer ConsultationUtilization Review Accreditation CommissionNational Committee For Quality Assurance StandardsHealthcare Regulations

About the role

Key responsibilities & impact

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
Discuss evidence-based medical necessity and appropriateness of requested services or treatments
Recommend alternative services or treatments as necessary
Collaborate with over 500 EviCore physician colleagues
Review a wide range of cases while staying current on healthcare regulations and industry developments

Requirements

What you’ll need

M.D. or D.O. with a current, active U.S. medical license and board certification (ABMS or AOA) in Maternal-Fetal Medicine
Eligible to acquire additional state licensure as required
3 or more years of relevant clinical experience post residency/fellowship
Knowledge of applicable state and 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)
Strong computer skills and ability to work autonomously with automated processes, computer applications, and systems
Ability to type, speak, and listen 100% of the time
Company-provided encrypted workstation must be hard-wire connected to a modem or router; wireless connection is not permitted
Cable broadband or fiber optic internet service with at least 10Mbps download/5Mbps upload

Benefits

Comp & perks

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
Medical, vision, dental, and well-being and behavioral health programs
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence
Annual bonus plan eligibility