Medical Director – Physical Medicine & Rehabilitation

The Cigna Group

Medical Director conducting evidence-based Physical Medicine and Rehabilitation reviews for EviCore, which provides healthcare management solutions. Performing medical necessity reviews and peer-to-peer consultations remotely.

Posted 8/21/2026full-timeRemote • 🇺🇸 United StatesLead💰 $207,800 - $346,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evidence-based medical case reviews and clinical interventional pain management, leveraging strong communication skills for effective physician consultations. Maintains compliance with healthcare regulations and standards while collaborating with a diverse team of healthcare professionals.

Highest-signal resume keywords

M.D. Or D.O. With Active U.S. Medical LicenseBoard Certification In Physical Medicine And RehabilitationClinical Interventional Pain Experience3+ Years Relevant Clinical ExperienceKnowledge Of Healthcare Regulations

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Evidence-Based Medical Case ReviewsClinical Interventional Pain ManagementUtilization Review Accreditation Commission StandardsNational Committee For Quality Assurance StandardsComputer Applications ProficiencyAutomated Processes Management

Soft Skills

Strong Communication SkillsCollaborative Teamwork

Tools & Technologies

EviCore Case Management SoftwareEncrypted Workstation

Certifications & Qualifications

Board Certification (ABMS Or AOA)

Industry Keywords

Healthcare RegulationsPeer-To-Peer ConsultationMedical NecessityState Licensure

About the role

Key responsibilities & impact

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 requested services or treatments
Leverage 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
Complete structured remote training with support from trainers, mentors, and leadership
Stay current on healthcare regulations and industry developments
Collaborate with healthcare providers while reviewing a wide range of cases

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 Physical Medicine and Rehabilitation
Clinical interventional pain experience required
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
Company provided encrypted-workstation is required to be hard-wire connected to a modem or router; wireless connection is not permitted
Home internet connection must be through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload

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
Annual bonus plan eligibility
Medical, vision, dental, and well-being and behavioral health programs
Company paid life insurance
Tuition reimbursement
A minimum of 18 days of paid time off per year
Paid holidays
Leaves of absence