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Medical Director – Radiation Oncology
The Cigna GroupRadiation Oncology Medical Director conducting evidence-based medical necessity reviews for EviCore. Consulting referring physicians and guiding treatment decisions to improve patient care.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in evidence-based medical case reviews and physician consultations, with a strong foundation in Radiation Oncology and compliance with healthcare regulations. Proficient in utilizing case management software and maintaining effective communication with healthcare providers.
Highest-signal resume keywords
M.D. Or D.O. With Active U.S. Medical LicenseBoard Certification In Radiation Oncology3+ Years Clinical Experience Post Residency/FellowshipKnowledge Of Healthcare RegulationsStrong Computer Skills
ATS Keywords
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Hard Skills
Evidence-Based Medical Case ReviewsPeer-To-Peer Physician ConsultationMedical Necessity AssessmentAlternative Treatment RecommendationsUtilization Review Accreditation Commission StandardsNational Committee For Quality Assurance Standards
Soft Skills
CollaborationCommunication
Tools & Technologies
EviCore Case Management Software
Certifications & Qualifications
Board Certification (ABMS Or AOA) In Radiation Oncology
Industry Keywords
Healthcare RegulationsClinical ExperienceRemote TrainingPatient Care
About the role
Key responsibilities & impact- Complete time-sensitive, specialized evidence-based medical case reviews for medical necessity using EviCore’s case management software
- Conduct physician consultation (peer-to-peer) calls with referring providers
- Discuss evidence-based medical necessity and appropriateness of requested services or treatments
- Recommend alternative services or treatments as necessary
- Collaborate with over 500 EviCore physician colleagues to support evidence-based decision-making and proper patient care
- Complete structured remote training with trainers, mentors, and leadership
- Stay current on healthcare regulations and industry developments
- Review a wide range of cases and collaborate with healthcare providers
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 Radiation Oncology
- 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
- Ability to type, speak, and listen 100% of the 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 at least 10Mbps download/5Mbps upload for home working
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
- Medical, vision, dental, and well-being and behavioral health programs
- Company paid life insurance
- Tuition reimbursement
- Minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Annual bonus plan eligibility