full-timeUnited States4 days ago
Executive Medical Director DME/IRF
The Cigna Group
$238k - $397k
See jobs picked for you, not just this one
Take the 3 minute quiz and get matched with remote roles based on your timezone, skills, and async needs.
Get matched →medical-directorclinical-directorhealthcare-administrationutilization-management-directordme-managementexecutive-medical-directorsenior-medical-directorhealthcare-medical-director
About this role
Medical Director DME/IRF Summary: The Medical Director DME & IRF oversees intraday activities of EviCore’s Durable Medical Equipment and Inpatient Rehabilitation Facility management programs and services. Responsibilities include: • Serve as program internal lead for DME clinical guideline and policy management • Work with Guideline Manager to create eviCore DME guidelines • Maintain and update DME denial rationales • Represent EviCore in audits or case discussions specifically arranged around Medicare or Medicaid policies regarding DME and IRF issues/decisions…