Chief Medical Officer

2 weeks ago

Olympia, Washington, United States CVS Health Full time
Join CVS Health as a Chief Medical Officer

At CVS Health, we are united by a singular mission: to bring our heart to every aspect of health care. This mission drives our dedication to providing enhanced, human-centered health care in a world that is constantly evolving.

Our Heart At Work Behaviors™ embody this mission, empowering every employee to play a vital role in transforming our culture and advancing our capacity to innovate and deliver personalized, convenient, and affordable health care solutions.


Position Overview:
Aetna, a subsidiary of CVS Health, stands as one of the oldest and largest national insurers, offering a unique opportunity to reshape health care.

We advocate for a care system that prioritizes transparency and consumer focus, recognizing physicians for their clinical excellence and efficient use of health care resources.

This role is primarily remote, with a preference for candidates located in specific states and holding an active medical license without encumbrances.

As the Chief Medical Officer, you will oversee the implementation of medical policies.

Your responsibilities will include the development, execution, and assessment of clinical and medical programs, enhancing Aetna's medical management initiatives to meet member needs across the entire care continuum.

You will also support the Medical Management team, ensuring prompt and consistent communication with members and providers.

Key responsibilities include:

  • Overseeing utilization review and quality assurance processes.
  • Managing predetermination reviews, including Prior Authorization, Pre Certification, and Concurrent Reviews.
  • Conducting Peer to Peer Calls and First Level Appeals.
  • Participating in special projects and committees as required.

As Chief Medical Officer, you will provide clinical expertise and guide case management when necessary, acting as the primary business and clinical liaison to network providers and facilities to facilitate effective execution of medical services programs.


Required Qualifications:
*Active and current state medical license in specified states without encumbrances.
*M.D. or D.O. with Board Certification in an ABMS or AOA recognized specialty, along with direct patient care experience.

Preferred Qualifications:
Experience in Utilization Management with a Health Plan or Payor.

Education:
MD or DO

Compensation:
The typical pay range for this role is between $174,000 and $374,920. This range represents the base hourly rate or annual salary for all positions within this job grade.

The actual salary will be determined based on various factors, including experience, education, and geography.

This position is eligible for bonuses, commissions, or short-term incentive programs, in addition to the base pay range.

CVS Health offers a comprehensive benefits package, including medical, dental, and vision coverage, a 401(k) retirement savings plan, and an Employee Stock Purchase Plan for eligible employees.

Additional benefits include fully-paid term life insurance, short-term and long-term disability benefits, well-being programs, education assistance, and various discounts.

Employees also enjoy Paid Time Off (PTO) and paid holidays throughout the year, with time off policies aligned with state laws and company policies.

For more detailed information on available benefits, please visit our website.

CVS Health is an equal opportunity and affirmative action employer, committed to diversity and inclusion in the workplace.

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