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The Cigna Group

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 .

Posted 9/17/2026full-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 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

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Applicant 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