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Medical Director – Medical Oncology
The Cigna Group. Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity on EviCore’s case management software .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in evidence-based medical case reviews and clinical decision-making, with a strong foundation in Medical Oncology and compliance with healthcare regulations. Proficient in utilizing case management software and conducting peer-to-peer consultations to ensure appropriate patient care.
Highest-signal resume keywords
M.D. Or D.O. DegreeBoard Certification In Medical OncologyClinical Experience Post Residency/FellowshipKnowledge Of Healthcare RegulationsStrong Computer Skills
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Evidence-Based Medical Case ReviewsClinical Decision-MakingUtilization Review Accreditation Commission StandardsNational Committee For Quality Assurance StandardsPeer-To-Peer Consultations
Soft Skills
CollaborationCommunication
Tools & Technologies
EviCore Case Management Software
Certifications & Qualifications
Current U.S. Medical LicenseBoard Certification (ABMS Or AOA)
Industry Keywords
Healthcare RegulationsMedical NecessityAlternative Services Or TreatmentsClinical ExpertiseState Licensure
About the role
Key responsibilities & impact- 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 requested services or treatments
- Leverage clinical expertise to recommend alternative services or treatments as necessary
- Collaborate with over 500 EviCore physician colleagues to help ensure patients receive proper care through evidence-based decision making
- Complete structured remote training with support from trainers, mentors, and leadership
- Stay current on healthcare regulations and industry developments while reviewing a wide range of cases
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 Medical Oncology
- 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: 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
- Company-provided encrypted workstation hard-wire connected to a modem or router; wireless connection is not permitted
- Cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload for home working
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