Medical Director - Heartland - Remote

Overview

The Medical Director role at CVS Health focuses on overseeing medical policy implementation, developing clinical programs, and ensuring quality assurance in health care delivery.

In Short

• Remote position requiring residency in Heartland States.
• Oversee medical policy implementation.
• Participate in clinical program development and evaluation.
• Support medical management staff with timely responses.
• Focus on utilization review and quality assurance.
• Responsible for predetermination reviews and claim determinations.
• Provide clinical and reimbursement expertise.
• Act as liaison to network providers.
• Five or more years of experience required.
• Active medical license and board certification required.

Requirements

• Five or more years in Health Care Delivery System.
• Active medical license without encumbrances.
• M.D. or D.O. with board certification.
• Experience in utilization management preferred.
• Post-graduate direct patient care experience.

Benefits

• Comprehensive medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.