CVS Health
Medical Director - Medical Affairs (Oncology)
CVS Health, Juneau, Alaska, us, 99812
CVS Health - Medical Director - Medical Affairs (Oncology)
Location: Juneau, AlaskaBring 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 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board Certified Oncologist/Internal Medicine for this opportunity. This is a remote-based role.The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug information services and pipeline activities.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 and CVS Health coverage policies.Model the highest levels of clinical integrity and cross-functional decision making.Provide oversight of CVS Health's clinical programs and commercial client program support.Complete assigned medication utilization reviews (PA) and/or medical necessity appeals for various programs.Participate in inter-rater review activities and quality oversight processes.Perform clinical investigations and research as requested by the Senior Medical Director.Required QualificationsMinimum of 5 years clinical experience in direct patient care.Board Certified in Oncology and Internal Medicine.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.Proficiency in MS Office Suite.EducationM.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty; Oncology and Internal Medicine.Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia.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.We anticipate the application window for this opening will close on: 12/31/2024.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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Location: Juneau, AlaskaBring 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 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs. We need a Double Board Certified Oncologist/Internal Medicine for this opportunity. This is a remote-based role.The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug information services and pipeline activities.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 and CVS Health coverage policies.Model the highest levels of clinical integrity and cross-functional decision making.Provide oversight of CVS Health's clinical programs and commercial client program support.Complete assigned medication utilization reviews (PA) and/or medical necessity appeals for various programs.Participate in inter-rater review activities and quality oversight processes.Perform clinical investigations and research as requested by the Senior Medical Director.Required QualificationsMinimum of 5 years clinical experience in direct patient care.Board Certified in Oncology and Internal Medicine.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.Proficiency in MS Office Suite.EducationM.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty; Oncology and Internal Medicine.Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia.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.We anticipate the application window for this opening will close on: 12/31/2024.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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