Medical Director – Pediatric Otolaryngology

The Cigna Group

Medical Director leading evidence-based medical reviews in Pediatric Otolaryngology at EviCore. Collaborating with healthcare providers to support high-quality patient care and clinical excellence.

Posted 6/3/2026full-timeRemote • 🇺🇸 United StatesLead💰 $207,800 - $346,300 per yearWebsite

About the role

Key responsibilities & impact

You’ll start training remotely in a structured environment with support from trainers, mentors, and leadership to set you up for success.
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 the requested service or treatment.
Leverage your clinical expertise to recommend alternative services or treatments as necessary.
Work collaboratively with over 500 EviCore physician colleagues to help ensure patients receive proper care via evidence-based decision making.

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 Otolaryngology possessing the subspecialty of Complex Pediatric Otolaryngology.
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

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

evidence-based medical case reviewsclinical expertisemedical necessitypeer-to-peer consultationalternative services recommendationsclinical experiencestate and federal laws knowledgeUtilization Review Accreditation Commission standardsNational Committee for Quality Assurance standards

Soft Skills

collaborationcommunicationautonomycommitment to schedule

Certifications

M.D.D.O.U.S. medical licenseboard certification (ABMS or AOA) in Otolaryngology