CVS Health
Medical Director - Medical Affairs (Oncology)
CVS Health, Carson City, Nevada, us, 89702
CVS Health Medical Director - Medical Affairs (Oncology)
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, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified Oncologist for this opportunity.The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs.ResponsibilitiesProvide clinical support and consultative activities across the PBM.Transact Utilization Management (UM) activities (prior authorization and appeals) and respond to prescriber inquiries related to UM transactions.Model the highest levels of clinical integrity, knowledge, and cross-functional decision-making.Oversee a portion of CVS Health's clinical programs and commercial client program support.Complete assigned medication utilization reviews (PA) and/or medical necessity appeals for various clients.Participate in inter-rater review activities and other quality oversight processes.Perform special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs.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, regulatory agencies, and analytic programs.Unrestricted license to practice medicine in the state in which 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.EducationMust be a graduate 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) must remain current during employment.Pay RangeThe typical pay range for this role is: $174,070.00 - $374,900.00. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.In addition to your compensation, enjoy a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan and an Employee Stock Purchase Plan. The Company provides a fully-paid term life insurance plan and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, and a CVS store discount.We anticipate the application window for this opening will close on: 10/31/2024.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.We are 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, a Fortune 4 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Board Certified Oncologist for this opportunity.The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs.ResponsibilitiesProvide clinical support and consultative activities across the PBM.Transact Utilization Management (UM) activities (prior authorization and appeals) and respond to prescriber inquiries related to UM transactions.Model the highest levels of clinical integrity, knowledge, and cross-functional decision-making.Oversee a portion of CVS Health's clinical programs and commercial client program support.Complete assigned medication utilization reviews (PA) and/or medical necessity appeals for various clients.Participate in inter-rater review activities and other quality oversight processes.Perform special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs.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, regulatory agencies, and analytic programs.Unrestricted license to practice medicine in the state in which 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.EducationMust be a graduate 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) must remain current during employment.Pay RangeThe typical pay range for this role is: $174,070.00 - $374,900.00. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.In addition to your compensation, enjoy a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan and an Employee Stock Purchase Plan. The Company provides a fully-paid term life insurance plan and short-term and long-term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, and a CVS store discount.We anticipate the application window for this opening will close on: 10/31/2024.Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.We are an equal opportunity and affirmative action employer.
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