Medical Director

The Medical Director performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers. 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. Works to achieve quality outcomes for customers/members with a focus on service and cost. Improves clinical outcomes through daily interactions with health care professionals using active listening, education, and excellent communication and negotiation skills. Balances customer/member needs with business needs while serving as a customer/member advocate at all times. Participates in all levels of the Appeal process as appropriate.The Medical Director performs medical review and case management activities. The physician provides clinical insight to the organization through peer review, benefit review, consultation, and service to internal and external customers.

According to JobzMall, the average salary range for a Medical Director is $139,810 to $254,419. The salary range can vary based on factors such as experience, location, type of medical director position, and the size of the organization.

Cigna Corp. provides medical, dental, disability, life and accident insurance and related products and services to businesses, governmental and non-governmental organizations and individuals. It operates through following segments: Global Health Care; Global Supplemental Benefits; Group Disability and Life; Other Operations; and Corporate.