Medical Director (Medical Affairs)

CVS Health; Springfield (IL); Remote; USD 174,000 - 375,000; Full time

Job summary

CVS Health is seeking a Medical Director (Medical Affairs) for a remote position. The role involves providing clinical support, oversight of clinical programs, and ensuring high standards of clinical integrity. Ideal candidates will have significant clinical experience and relevant board certifications.

Benefits

Medical Plans

401(k)

Stock Purchase Plans

Wellness Programs

Paid Time Off

Flexible Schedules

Family Leave

Tuition Assistance

Qualifications

• Minimum of 5 years of clinical experience in direct patient care.
• At least 2 years of experience in clinical outcomes.

Responsibilities

• Oversight of clinical programs and utilization management criteria.
• Conducting medication utilization reviews and appeals.

Skills

Clinical Integrity

Analytic Programs

Knowledge of Medical Statistics

Management Experience

Education

Graduate of an accredited Medical School

Residency Program

Master’s Degree in Public Health Administration

Tools

MS Office Suite

Job description

Join to apply for the Medical Director (Medical Affairs) role at CVS Health.

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is more connected, more convenient, and more compassionate. We do it all with heart, each and every day.

Position Summary

CVS Health, a Fortune 6 company, offers an outstanding opportunity for a Medical Director (Medical Affairs). This is a remote, work-from-home position.

The Medical Affairs department provides clinical business support across the enterprise, including oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, formulary development, drug information services, pipeline activities, and clinical leadership to various internal departments and clients.

The Medical Director (Medical Affairs) will report to the Medical Affairs Department and support clinical activities across the PBM, including providing consultative clinical support to Account Management for Key Clients, conducting Utilization Management activities, and responding to prescriber inquiries related to CVS Health coverage policies.

Medical Directors are expected to model high standards of clinical integrity and knowledge, representing clinical decision-making and professional thought processes enterprise-wide.

Responsibilities include oversight of clinical programs, review of utilization management criteria, conducting medication utilization reviews and appeals, participating in quality oversight activities, and supporting special clinical investigations and research projects.

Required Qualifications

• Family Medicine or Internal Medicine Board Certification.
• Minimum of 5 years of clinical experience in direct patient care.
• At least 2 years of experience in clinical outcomes, with knowledge of medical statistics, regulatory agencies, and analytic programs.
• Unrestricted medical license in the practicing state.

Preferred Qualifications

• Management and/or clinical experience in managed care and health administration.
• Board certification in a recognized medical specialty, preferably in Primary Care.
• Master’s Degree in Public Health Administration or MBA, with UM/QA certification preferred.
• Proficiency in MS Office Suite.

Education

• Graduate of an accredited Medical School and Residency Program.
• Active, unrestricted medical license.
• Up-to-date CME requirements.

Pay Range

The typical pay range for this role is $174,070 - $374,920, depending on experience, education, and location. The position may include bonuses, incentives, and equity awards.

Benefits

Our comprehensive benefits include medical plans, 401(k), stock purchase plans, wellness programs, paid time off, flexible schedules, family leave, tuition assistance, and more. For details, visit CVS Benefits.

Application deadline: 06/30/2025.

Additional Details

• Seniority level: Director
• Employment type: Full-time
• Job function: Healthcare Provider
• Industry: Hospitals and Healthcare