Remote Medical Director - Policy & Utilization Lead

CVS Health; Des Moines (IA); Remote; USD 174,000 - 375,000; Full time

Benefits offered by this job

Bonus eligibility

Equity program

Comprehensive benefits

Job summary

CVS Health, in a remote-based Medical Director role, oversees medical policy implementation and evaluates clinical programs across the continuum of care. You will support management staff, ensure timely responses to members and providers, and liaise with network providers to align clinical and business goals.

The position requires an MD/DO with board certification and an active license, plus five+ years in health care delivery, with emphasis on utilization review and quality assurance.

Qualifications

• Five+ years of experience in health care delivery system or clinical practice.
• Active and current medical license without encumbrances.
• MD or DO with board certification in an ABMS or AOA recognized specialty.

Responsibilities

• Provide oversight for medical policy implementation.
• Develop, implement, and evaluate clinical/medical programs across the continuum of care.
• Support Medical Management staff ensuring timely responses to members and providers.

Skills

Clinical leadership

Healthcare policy understanding

Strategic planning

Communication

Education

MD or DO

ABMS/AOA board certification

Job description

CVS Health, in a remote-based Medical Director role, oversees medical policy implementation and evaluates clinical programs across the continuum of care. You will support management staff, ensure timely responses to members and providers, and liaise with network providers to align clinical and business goals.

The position requires an MD/DO with board certification and an active license, plus five+ years in health care delivery, with emphasis on utilization review and quality assurance.