CVS Health
Medical Director (Medical Affairs)
CVS Health, Jackson, Mississippi, United States, 39200
CVS Health Medical Director (Medical Affairs) - Jackson, Mississippi
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Position SummaryCVS Health has an outstanding opportunity for a Medical Director (Medical Affairs). The Medical Affairs department provides clinical business support to the entire enterprise, offering clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, and consultative support to the P&T process.The Medical Director will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. This includes providing consultative clinical support to Account Management in support of Key Clients as assigned.Responsibilities include:Transacting Utilization Management (UM) activities (prior authorization and appeals).Responding to prescriber inquiries related to UM transactions and CVS Health coverage policies.Providing oversight of CVS Health's clinical programs and commercial client program support.Completing assigned medication utilization reviews (PA) and/or medical necessity appeals for various clients.Participating in inter-rater review activities and quality oversight processes.Conducting special clinical investigations and research as requested.Required QualificationsMinimum of 5 years clinical experience in direct patient care.2 or more years proven experience in clinical outcomes, with a solid understanding of medical statistics.Unrestricted license to practice medicine in the state where the candidate is located.Preferred QualificationsCombination of five years of management and/or clinical experience in a managed care environment.Master’s Degree in Public Health Administration or MBA preferred.Internal Medicine or Family Medicine Board Certification highly desired.Proficiency in MS Office Suite.EducationGraduate of an accredited Medical School and Residency Program.ABMS or AOA Board Certified in a recognized medical specialty, preferably in a Primary Care field.Required annual Continuing Medical Education (CME) up to date.Pay RangeThe typical pay range for this role is: $174,070.00 - $374,900.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan.We anticipate the application window for this opening will close on: 10/31/2024.CVS Health is an equal opportunity and affirmative action employer.
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Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world.Position SummaryCVS Health has an outstanding opportunity for a Medical Director (Medical Affairs). The Medical Affairs department provides clinical business support to the entire enterprise, offering clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, and consultative support to the P&T process.The Medical Director will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. This includes providing consultative clinical support to Account Management in support of Key Clients as assigned.Responsibilities include:Transacting Utilization Management (UM) activities (prior authorization and appeals).Responding to prescriber inquiries related to UM transactions and CVS Health coverage policies.Providing oversight of CVS Health's clinical programs and commercial client program support.Completing assigned medication utilization reviews (PA) and/or medical necessity appeals for various clients.Participating in inter-rater review activities and quality oversight processes.Conducting special clinical investigations and research as requested.Required QualificationsMinimum of 5 years clinical experience in direct patient care.2 or more years proven experience in clinical outcomes, with a solid understanding of medical statistics.Unrestricted license to practice medicine in the state where the candidate is located.Preferred QualificationsCombination of five years of management and/or clinical experience in a managed care environment.Master’s Degree in Public Health Administration or MBA preferred.Internal Medicine or Family Medicine Board Certification highly desired.Proficiency in MS Office Suite.EducationGraduate of an accredited Medical School and Residency Program.ABMS or AOA Board Certified in a recognized medical specialty, preferably in a Primary Care field.Required annual Continuing Medical Education (CME) up to date.Pay RangeThe typical pay range for this role is: $174,070.00 - $374,900.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan.We anticipate the application window for this opening will close on: 10/31/2024.CVS Health is an equal opportunity and affirmative action employer.
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