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Medical Director
2 months ago
CVS Health is seeking a highly skilled Medical Director to join our team. As a Medical Director, you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high-quality, constituent-responsive medical care.
Key Responsibilities- Partner with other Advocate team members to holistically assess members' needs
- Collaborate with treating providers through personalized, creative solutions to help members meet their healthcare needs
- Lead the clinical staff in the coordination of quality care on behalf of members
- Conduct educational and clinical rounds with A1A clinical staff
- Provide clinical expertise and business direction in support of medical management and utilization review programs through participation in clinical team activities, including precertification, concurrent review/discharge planning, case management, disease management, and quality management
- Provide clinical guidance in promoting member quality of care and reviewing/addressing potential lapses
- Act to engage providers and facilities in improving the quality of care delivered to our members and assure that our shared relationships are maintained and improved
- Proactively use data analysis and periodic assessments to identify opportunities for quality improvement
- Work collaboratively with other functional areas that interface with medical management, including provider relations, sales, benefits, healthcare delivery, national medical services, and national accounts to achieve business goals
- Full unrestricted MD or DO license
- Board Certification in an ABMS Specialty
- 5+ years clinical experience
CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, a 401(k) retirement savings plan, an Employee Stock Purchase Plan, and a fully-paid term life insurance plan. We also offer numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
