CVS Health Medical Director (Medical Affairs) Honolulu, Hawaii
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 Summary
CVS Health has an outstanding opportunity for a Medical Director (Medical Affairs). The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs.
The Medical Director will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. In this role, you may provide consultative clinical support to Account Management in support of Key Clients as assigned.
The Medical Director transacts Utilization Management (UM) activities and responds to prescriber inquiries related to UM transactions and CVS Health coverage policies.
Responsibilities
- 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 quality oversight processes for internal Director UM decisions.
- Perform special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs.
Required Qualifications
- Minimum 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 in which the candidate is located.
Preferred Qualifications
- Combination 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.
Education
- Graduate of an accredited Medical School and Residency Program.
- ABMS or AOA Board Certified in a recognized medical specialty.
Pay Range
The typical pay range for this role is: $174,070.00 - $374,900.00. This pay range represents the base salary for all positions in the job grade within which this position falls.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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