Medical Director – Neurologist

The Cigna Group

Medical Principal involved in medical review and case management at Cigna Healthcare, focusing on improving clinical outcomes and member quality of care.

Posted 6/9/2026full-timeRemote • 🇺🇸 United StatesLead💰 $212,600 - $354,300 per yearWebsite

About the role

Key responsibilities & impact

Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles.
Works to achieve quality outcomes for customers/members with a focus on service and cost.
Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills.
Balances customer/member needs with business needs while serving as a customer/member advocate at all times.
Participates in all levels of the Appeal process as appropriate and allowed by applicable regulatory agencies and accreditation organizations.

Requirements

What you’ll need

Current unrestricted medical license in a US state or territory.
Current board certification (lifetime certification or certification maintained by MOC or other applicable program) in an ABMS or AOA recognized specialty
Minimum of 5 years of clinical practice experience and/or direct patient care beyond residency
Computer Competency: Word processing, Spreadsheet, Email, PowerPoint and Personal Information Management programs are used extensively and competency in all must be possessed or rapidly acquired.
Must not be excluded from participation in any federal health care program.
Must not be included in CMS’ Preclusion List.
Preferred Skill Sets: Experience in medical management, utilization review and case management in a managed care setting.

Benefits

Comp & perks

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.
401(k)
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Participation in an annual bonus and long term incentive plan

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

medical necessity reviewsclinical guidelinescase managementutilization reviewclinical practicedirect patient care

Soft Skills

active listeningeducationcommunication skillsnegotiation skillscustomer advocacy

Certifications

unrestricted medical licenseboard certificationABMS recognized specialtyAOA recognized specialty