Medical Director, Post Acute Care

The Cigna Group

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

Posted 10/13/2026full-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 physician consultations, ensuring compliance with healthcare regulations and standards. Possesses strong clinical experience and the ability to collaborate effectively with healthcare providers to recommend appropriate services.

Highest-signal resume keywords

M.D. Or D.O. DegreeBoard Certified In PM&R, Family Medicine, Emergency Medicine, Or Internal Medicine3 Years Of Relevant Clinical ExperienceKnowledge Of State And Federal LawsStrong Computer Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Evidence-Based Medical Case ReviewsUtilization ReviewClinical ConsultationMedical Necessity AssessmentAlternative Treatment Recommendations

Soft Skills

CollaborationCommunicationAutonomy

Tools & Technologies

EviCore Case Management SoftwareComputer ApplicationsAutomated Processes

Certifications & Qualifications

Current U.S. State Medical LicenseBoard Certification

Industry Keywords

Healthcare RegulationsPeer-To-Peer ConsultationQuality Assurance StandardsRemote Training

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
Recommend alternative services or treatments as necessary
Collaborate with healthcare providers
Work collaboratively with over 500 EviCore physician colleagues to support evidence-based decision making and ensure patients receive proper care
Stay current on healthcare regulations and industry developments
Complete structured remote training with support from trainers, mentors, and leadership

Requirements

What you’ll need

M.D. or D.O. with a current, active, U.S. state medical license and board certified in PM&R, Family Medicine, Emergency Medicine and Internal Medicine, recognized by the American Board of Medical Specialties, or American Osteopathic Association
Eligible to acquire additional state licensure as required
3 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)
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 when working at home

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
Annual bonus plan eligibility
Medical, vision, dental, and well-being and behavioral health programs
Company paid life insurance
Tuition reimbursement
Leaves of absence
Tobacco-free policy