Medical Director - New England Region

October 2

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Logo of CVS Health

CVS Health

Retail β€’ Pharmacy Benefits Management β€’ Health Insurance β€’ Health Care β€’ Pharmacy

10,000+

Description

β€’ Oversee utilization review for health systems and providers in New England. β€’ Perform in-hospital utilization reviews and quality activities. β€’ Focus on overseeing utilization review and quality assurance of inpatient hospitalizations, prior authorizations, and appeals. β€’ Participate in development, implementation, and evaluation of clinical / medical programs. β€’ Support Medical Management staff ensuring timely responses to members and providers.

Requirements

β€’ Two (2) or more years of experience in Health Care Delivery System. β€’ Active and current medical license without encumbrances. β€’ M.D. or D.O., Active and Current Board Certification in an ABMS or AOA recognized specialty.

Benefits

β€’ Enjoy the rewards of an organization that puts heart into caring for colleagues and communities. β€’ Full range of medical, dental, and vision benefits. β€’ Eligible for 401(k) retirement savings plan. β€’ Employee Stock Purchase Plan available for eligible employees. β€’ Fully-paid term life insurance plan for eligible employees. β€’ Short-term and long term disability benefits offered. β€’ Numerous well-being programs. β€’ Education assistance, free development courses. β€’ CVS store discount and discount programs with participating partners. β€’ Paid Time Off (PTO) and paid holidays throughout the calendar year.

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