Medical Director

The Cigna Group

Medical Principal role performing medical review and case management for Cigna Healthcare. Collaborating with healthcare professionals to improve clinical outcomes and customer satisfaction in a remote setting.

Posted 7/29/2026full-timeRemote • 🇺🇸 United StatesLead💰 $212,600 - $354,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in medical necessity reviews and appeals processes while effectively balancing customer needs with business objectives. Holds a current medical license and board certification, with extensive clinical practice experience to improve patient outcomes.

Highest-signal resume keywords

Medical Necessity ReviewsClinical Practice ExperienceBoard CertificationCustomer AdvocacyAppeal Process Participation

ATS Keywords

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Applicant Tracking System Keywords

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Soft Skills

Quality Outcomes FocusInterpersonal Communication

Tools & Technologies

Word ProcessingSpreadsheet SoftwareEmail ProgramsPowerPointPersonal Information Management

Certifications & Qualifications

Current Unrestricted Medical LicenseBoard Certification in ABMS or AOA Specialty

Industry Keywords

Claims ResolutionCase ManagementClinical OutcomesHealth Care ProfessionalsCustomer/Member Needs

About the role

Key responsibilities & impact

Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution
Works to achieve quality outcomes for customers/members
Improves clinical outcomes through daily interactions with health care professionals
Balances customer/member needs with business needs while serving as a customer/member advocate
Participates in all levels of the Appeal process as appropriate

Requirements

What you’ll need

Current unrestricted medical license in a US state or territory
Current board certification in an ABMS or AOA recognized specialty
Minimum of 5 years clinical practice experience and/or direct patient care beyond residency
Proficiency in Word processing, Spreadsheet, Email, PowerPoint, and Personal Information Management programs

Benefits

Comp & perks

Medical, vision, and dental insurance
401(k)
Company-paid life insurance
Tuition reimbursement
Minimum of 18 days paid time off per year
Paid holidays
Leaves of absence