CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy
January 23
🥔 Idaho – Remote
🌽 Illinois – Remote
+3 more states
💵 $174.1k - $374.9k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
Retail • Pharmacy Benefits Management • Health Insurance • Health Care • Pharmacy
• Responsible for clinical support and consultative activities across the PBM. • Transacts Utilization Management (UM) activities and responds to inquiries. • Provides oversight of CVS Health's clinical programs and client support. • Completes medication utilization reviews and medical necessity appeals. • Performs clinical investigations and research as requested.
• Family Medicine or Internal Medicine Board Certification. • Minimum of 5 years clinical experience in direct patient care. • 2 or more years proven experience in clinical outcomes. • Unrestricted license to practice medicine in the state of residence. • Combination of five years of management and/or clinical experience preferred. • ABMS or AOA Board Certified in a recognized medical specialty preferred. • Master’s Degree in Public Health Administration or MBA preferred. • Proficiency in MS Office Suite.
• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan available. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs and education assistance. • Free development courses. • CVS store discount and discount programs with partners. • Paid Time Off (PTO) and paid holidays.
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