The Cigna Group is seeking a Medical Principal - Gastroenterologist to perform medical reviews and case management activities, providing clinical insights across various departments. This position requires a current medical license, board certification in Gastroenterology, and at least five years of clinical practice experience
Job Summary
Performs benefit-driven medical necessity reviews for coverage, case management, and claims resolution, using benefit plan information, applicable federal and state regulations, clinical guidelines, and best practice principles.
Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills.
Achieves internal customer satisfaction and regulatory/accreditation agency compliance goals by assuring both timely turn-around of coverage reviews and quality outcomes based on those review decisions.
Matching Summary
Match Score: 85
The Cigna Group is seeking a Medical Principal - Gastroenterologist to perform medical reviews and case management activities, providing clinical insights across various departments. This position requires a current medical license, board certification in Gastroenterology, and at least five years of clinical practice experience.
Salary
Base: 212,600 - 354,300 USD / yearly; Bonus/Equity: Annual bonus and long term incentive plan; Benefits: Medical, vision, dental, well-being programs, 401(k), life insurance, tuition reimbursement, 18+ PTO days, paid holidays