Medical Director (medical Policy & Operations)

CVS Health

Remote, US
Base: $174,070.00 - $374,920.00; bonus/equity: eli...
Fully remote
Clinical expertise in medical management
Experience in appeals and claim review
Knowledge of coding and reimbursement
CVS Health is dedicated to simplifying health care for individuals and communities

Job Summary

  • CVS Health is dedicated to simplifying health care for individuals and communities.
  • The Medical Director will provide clinical expertise and business direction for medical management programs.
  • Comprehensive benefits are offered to support the wellness of colleagues and their families.

Matching Summary

CVS Health is dedicated to simplifying health care for individuals and communities.

Salary

Base: $174,070.00 - $374,920.00; Bonus/Equity: Eligible for bonus and equity program; Benefits: Comprehensive and competitive benefits offered

Skills & Requirements

Must-have

  • Clinical expertise in medical management
  • Experience in appeals and claim review
  • Knowledge of coding and reimbursement

Nice-to-have

  • Strong communication skills
  • Experience in health plan or payor
  • Ability to work collaboratively

Key Requirements

  • Five years of experience in healthcare delivery
  • Active state medical license
  • M.D. or D.O. with board certification

Work Rights

Not specified

Tailored Resume

Cover Letter