Remote Medical Director, Radiation Oncology

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

Job summary

CVS Health is seeking a Medical Director in Radiation Oncology (MD or DO) to provide clinical oversight, utilization review, and guidance on medical policy with a focus on prior authorization and case management. Remote work from anywhere in the United States with occasional travel for meetings.

The role requires board certification in Radiation Oncology, a current U.S. medical license, and 3+ years of relevant experience in oncology care or managed care.

Qualifications

• Board certified in Radiation Oncology or eligible
• Active U.S. medical license in good standing
• Experience in oncology care or managed care environment

Responsibilities

• Oversee oncology utilization review across enterprise
• Provide clinical, coding, and reimbursement guidance
• Support prior authorization, pre-certifications, and concurrent reviews
• Lead development and evaluation of clinical/medical programs
• Collaborate with network providers and facilities
• Participate in weekend/holiday/on-call rotation

Skills

Radiation Oncology

Utilization review

Policy implementation

Prior authorization

Case management

Education

MD/DO

Job description

CVS Health is seeking a Medical Director in Radiation Oncology (MD or DO) to provide clinical oversight, utilization review, and guidance on medical policy with a focus on prior authorization and case management. Remote work from anywhere in the United States with occasional travel for meetings.

The role requires board certification in Radiation Oncology, a current U.S. medical license, and 3+ years of relevant experience in oncology care or managed care.