Immediately Require Chiropractic Clinical Reviewer - eviCore - Work at Home in USA
Job title: Chiropractic Clinical Reviewer - eviCore - Work at Home
Company: Cigna
Job description: Provides advanced professional input to complex Utilization Management assignments/projects. Primarily will review post service clinical treatment submissions and apply guidelines appropriately. Assist with day to day operations. Review and apply guidelines and assist with updates peer review literature. Plans, organizes, and manages medical review, utilization review, credentialing/re-credentialing, quality assurance/improvement, and/or health education programs. Serves as a liaison to member doctors, their staff, and clients. Analyzes treatment patterns and utilization trends. Develops and implements clinical review criteria. Creates and/or revises medical policy statements as necessary. Supports and provides direction to more junior professionals. Works autonomously, only requiring ??expert?? level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Health Services.
Qualifications:
An active Chiropractic State License in state of employment is required.
5+ years of Chiropractic experience preferred.
Previous Utilization Management experience preferred.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
For this position, we anticipate offering an annual salary of 67,200 - 112,000 USD / yearly, depending on relevant factors, including experience and geographic location.
This role is also anticipated to be eligible to participate in an annual bonus plan.
We want you to be healthy, balanced, and feel secure. That??s why you??ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. 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. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit .
About Evernorth Health Services
Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.
Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.
If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.
The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Expected salary: $67200 - 112000 per year
Location: USA
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