Remote Medical Affairs Director — Clinical Strategy

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 full-time, remote-based role. The director will lead clinical decisions, review cases, and provide senior medical oversight across PBM programs and commercial clients.

Requires board certification in Family or Internal Medicine, active US license, and substantial clinical outcomes experience. The role reports to a Senior Medical Director and participates in quality oversight and research projects with pharmacists and other medical

Qualifications

• Family Medicine or Internal Medicine Board Certification is REQUIRED.
• Minimum of 5 years of clinical experience in direct patient care.
• 2+ years proven experience in clinical outcomes, with a solid understanding of medical statistics, regulatory agencies, and analytic programs
• Unrestricted license to practice medicine in the state in which the candidate is located.

Responsibilities

• Review a broad range of clinical cases and coverage requests, including specialty medications, oncology therapies, biologics, and newly marketed drugs.
• Provide consultative clinical support to Account Management in support of Key Clients as assigned.
• Participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions.
• Oversee portions of CVS Health's clinical programs and reviews of utilization management criteria and policies.

Education

Family Medicine or Internal Medicine Board Certification

Unrestricted medical license in United States

Graduate of an accredited Medical School and Residency Program

Required CME up to date

Tools

MS Office Suite

Job description

CVS Health is seeking a Medical Director (Medical Affairs) for a full-time, remote-based role. The director will lead clinical decisions, review cases, and provide senior medical oversight across PBM programs and commercial clients.

Requires board certification in Family or Internal Medicine, active US license, and substantial clinical outcomes experience. The role reports to a Senior Medical Director and participates in quality oversight and research projects with pharmacists and other medical