Medical Director - (Cardiology)

CVS Health; Missouri; Remote; USD 174,000 - 375,000; Full time

Job summary

An established industry player is seeking a Medical Director (Cardiology) to enhance their medical management programs. This remote role requires a strong background in cardiology, focusing on improving patient care across the health continuum. As a Subject Matter Expert, you'll lead utilization reviews and provide clinical expertise to network providers. Join a company that values innovation and personal care, offering a competitive salary and extensive benefits, including medical, dental, and vision plans, along with generous PTO and retirement options. If you're driven to make a difference in healthcare, this opportunity is for you.

Benefits

Medical, dental, and vision benefits

401(k) retirement savings plan

Employee Stock Purchase Plan

Fully-paid term life insurance

Short-term and long-term disability benefits

Paid Time Off (PTO)

Paid holidays

CVS store discount

Education assistance

Free development courses

Qualifications

• 2+ years in Health Care Delivery System with clinical experience.
• Active medical license and Board Certification in Cardiology.

Responsibilities

• Lead utilization review and quality assurance for medical management.
• Provide clinical expertise and business direction for medical services.

Skills

Cardiology expertise

Clinical Practice

Health Care Delivery System

Utilization Review

Education

M.D. or D.O. in Cardiology

Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home.

This role can be remote based anywhere in the US.

The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including post-graduate direct patient care experience specifically. This role expands Aetna's medical management programs to address member needs across the continuum of care. In this role you'll support the Medical Management staff ensuring timely and consistent responses to members and providers. You will lead all aspects of utilization review / quality assurance, directing case management. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities You'll act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams In addition, you will be responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise.

Required Qualifications

• 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
• Active and current state medical license without encumbrances
• M.D. or D.O.,Board Certification in Cardiology specialty including post-graduate direct patient care experience specifically

Preferred Qualifications

• Previous healthcare insurance experience.

Education

• M.D. or D.O.,Board Certification in a Cardiology specialty.

Pay Range

The typical pay range for this role is :

174,070.00 - $374,900.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

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