Medical Director – Physical Medicine & Rehabilitation

The Cigna Group

Medical Director conducting evidence-based medical necessity reviews for EviCore, part of Evernorth’s healthcare solutions business. Performing peer-to-peer consultations and recommending appropriate treatments remotely.

Posted 8/22/2026full-timeRemote • 🇺🇸 United StatesLead💰 $207,800 - $346,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in evidence-based medical case reviews and clinical interventional pain management, supported by a valid U.S. medical license and board certification in Physical Medicine and Rehabilitation. Proficient in utilizing case management software and maintaining compliance with healthcare regulations and standards.

Highest-signal resume keywords

M.D. Or D.O. DegreeBoard Certification In Physical Medicine And RehabilitationClinical Interventional Pain Experience3+ Years Clinical Experience Post Residency/FellowshipStrong Computer Skills

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Evidence-Based Medical Case ReviewsMedical Necessity AssessmentPeer-To-Peer Physician ConsultationAlternative Treatment RecommendationsHealthcare Regulations KnowledgeUtilization Review Accreditation Commission StandardsNational Committee For Quality Assurance Standards

Soft Skills

CollaborationCommunicationAutonomy

Tools & Technologies

EviCore Case Management SoftwareEncrypted Workstation

Certifications & Qualifications

Current U.S. Medical LicenseBoard Certification (ABMS Or AOA)

Industry Keywords

Clinical ExperienceHealthcare RegulationsState LicensureRemote Training

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
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 support from trainers, mentors, and leadership
Stay current on healthcare regulations and industry developments

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 required to be hard-wire connected to a modem or router; wireless connection is not permitted
Cable broadband or fiber optic internet service 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
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
Annual bonus plan eligibility