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Medical Director (medical Affairs) - Remote Eligible

Conduct clinical investigations and research to support CVS Health's clinical programs.
Remote
Senior
3 weeks ago
CVS Health

CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.

✨ About The Role

- The Medical Director will provide clinical support and consultative activities across the Pharmacy Benefit Management (PBM) sector. - Responsibilities include transacting Utilization Management activities such as prior authorization and appeals. - The role involves responding to prescriber inquiries related to Utilization Management transactions and CVS Health coverage policies. - Medical Directors will oversee a portion of CVS Health's clinical programs and commercial client program support. - Participation in inter-rater review activities and quality oversight processes for internal decisions is expected.

âš¡ Requirements

- The ideal candidate will have a board certification in Family Medicine or Internal Medicine. - A minimum of 5 years of clinical experience in direct patient care is essential for this role. - Candidates should possess at least 2 years of proven experience in clinical outcomes, with a solid understanding of medical statistics and regulatory agencies. - An unrestricted license to practice medicine in the state of residence is required. - Experience in a managed care environment and health administration is preferred, along with strong teamwork skills.
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Medical Director (medical Affairs) - Remote Eligible
Remote
Healthcare Administration
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.