Medical Director - Radiation Oncology

CVS Health; Phoenix (AZ); Remote; USD 174,000 - 375,000; Full time

Job summary

CVS Health seeks a Radiation Oncology Medical Director to oversee oncology programs and ensure quality assurance and clinical compliance. This remote role requires an M.D. or D.O. and at least three years of experience in radiation oncology, with responsibilities including policy implementation and clinical oversight. Competitive compensation and benefits included.

Benefits

Affordable medical plans

401(k) plan with matching contributions

Employee stock purchase plan

Flexible work schedules

Tuition assistance

Qualifications

• Board certified in Radiation Oncology.
• 3 years of relevant radiation oncology experience post residency.

Responsibilities

• Oversee oncology specific utilization and clinical reviews.
• Support implementation of medical policies.
• Participate in utilization reviews and quality assurance.

Skills

Clinical expertise

Coding expertise

Reimbursement expertise

Education

M.D. or D.O. with active U.S. medical license

Job description

13 hours ago Be among the first 25 applicants

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 uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assist with growing our oncology footprint. In the Medical Director role, you will provide oversight for medical policy implementation; you will support the ensuring timely and consistent responses to members and providers; you will focus on prior authorization cases and consultation cases. The Medical Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary.

This is a remote based (work from home) position.

In This Role You Will

• Support Oncology initiatives throughout the enterprise
• As a Medical Director you will focus primarily on overseeing utilization review and quality assurance while being responsible for predetermination reviews and review of claim determinations, In the Medical Director role you will provide input for medical policy implementation.
• This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed.
• The Medical Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary.
• You will participate in the development, implementation, and evaluation of clinical / medical programs and expand medical management programs to address member needs across the continuum of care.
• You will support the Medical Management staff ensuring timely and consistent responses to members and providers.
• In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
• The Medical Director will act as a business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.
• Participate in a weekend, holiday and on-call rotation.

Required Qualifications

• M.D. or D.O. with a current, active, U.S. state medical license and board certified in Radiation Oncology, recognized by the American Board of Medical Specialties, or American Osteopathic Association
• Eligible to acquire additional state licensure as required
• 3 years of relevant radiation oncology experience post residency

Preferred Qualifications

Previous UM experience with a Health Plan / Payor.

Previous UM experience as a Physician Advisor in a Health / Hospital system.

Education

Medical Doctor or Doctor of Osteopathic Medicine

Pay Range

The Typical Pay Range For This Role Is

$174,070.00 - $374,920.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great Benefits For Great People

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 08/08/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at CVS Health by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

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