Medical Director - National Accounts (Remote)

Remote Full-time
Job Summary:

CVS Health, a leading national health care company, is seeking an experienced Medical Director to oversee medical policy implementation and provide clinical expertise for our national accounts. As a Medical Director, you will play a critical role in developing, implementing, and evaluating clinical programs to address member needs across the continuum of care. This is a unique opportunity to join a dynamic team and make a meaningful impact on the health care system.

Key Responsibilities:


Provide oversight for medical policy implementation and medical management programs
Participate in the development, implementation, and evaluation of clinical programs
Support Medical Management staff to ensure timely and consistent responses to members and providers
Oversee utilization review/quality assurance and direct case management
Provide clinical expertise and business direction to support medical management programs
Act as lead business and clinical liaison to network providers and facilities


Requirements:


2+ years of experience in health care delivery system (e.g., clinical practice and health care industry)
Active and current state medical license without encumbrances
M.D. or D.O., Board Certification in a recognized specialty


Preferred Qualifications:


Health plan/payor experience
Electronic medical systems/record experience
Managed Care experience


What We Offer:


Competitive salary: $174,070 - $374,920 per year
Comprehensive benefits package, including medical, dental, and vision benefits
401(k) retirement savings plan and Employee Stock Purchase Plan
Paid time off, holidays, and sick leave
Opportunities for professional growth and development


Why Join Us:

At CVS Health, we are committed to bringing our heart to every moment of your health. We believe in delivering enhanced human-centric health care and making a positive impact on our communities. Our culture is built on core values of integrity, respect, and teamwork. Join our team and be part of a dynamic and innovative organization that is shaping the future of health care.

Apply Now and be part of our team!

Apply Now

Apply Now

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