Position scope:
Primarily regional with national level case work for Cigna Healthcare (CHC) -- Cigna
Summary description of position: A Medical Principal performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers. He/she will serve as a clinical educator and consultant to utilization management, case management, network, contracting, pharmacy, and service operations (claims). This is an entry to mid-level position for a physician interested in a career in health care administration.
Major responsibilities and required results:
Minimum Requirements:
Preferred Skill Sets:
This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan.
We want you to be healthy, balanced, and feel secure. That’s why you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.
About The Cigna Group
Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: SeeYourself@cigna.com for support. Do not email SeeYourself@cigna.com for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
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Cigna Healthcare is looking for an experienced Medical Director to join their amazing team working from home in the United States. This role primarily focuses on regional case work with national implications, allowing you to leverage your clinical expertise in exciting ways. As a Medical Director, you'll be performing medical reviews and engaging in case management while providing valuable clinical insights both to internal teams and clients. This role is perfect for physicians who are ready to transition into health care administration. You'll be conducting benefit-driven medical necessity reviews, ensuring not just adherence to clinical guidelines but also aiming for remarkable quality outcomes for Cigna's customers. The position involves active communication and collaboration with healthcare professionals, advocating for members while balancing their needs with business objectives. This is not just a remote job; it’s about being at the forefront of improving health care. You will have the opportunity to mentor and coach peers, contribute to the development of coverage guidelines, and lead quality improvement initiatives. Moreover, your ability to stay updated with the latest evidence-based guidelines will be essential. If you have at least five years of clinical practice experience, a current medical license, and a passion for making a difference, this role could be your next great adventure. Plus, Cigna offers competitive salaries and a robust benefits package designed to support your well-being and growth.
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To improve the health and vitality of those we serve.
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