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Medical Director - Medical Affairs

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Illinois

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Category:
Health and Beauty

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Contract Type:
Employment contract

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Salary:

174070.00 - 374920.00 USD / Year

Job Description:

Outstanding opportunity for a Medical Director - Medical Affairs (Oncology). This remote role involves clinical oversight, consultative support, utilization management, and research responsibilities across the PBM and enterprise. The role calls for a skilled oncologist committed to reimagining health care.

Job Responsibility:

  • Provide clinical business support to the entire enterprise
  • Provide clinical oversight and mentorship for CVS Health clinical programs
  • Consultative support to the P&T process, formulary development, drug information services, and pipeline activities
  • Clinical leadership to internal departments and clients
  • Complete assigned medication utilization reviews (PA) and/or medical necessity appeals for clients
  • Participate in inter-rater review activities and other quality oversight processes
  • Perform special clinical investigations and research as requested
  • Share in reviews of utilization management criteria and clinical policy revisions/reviews
  • Support UM programs across various segments including commercial, Medicare, and Medicaid

Requirements:

  • Minimum of 5 years clinical experience in direct patient care
  • Board Certified in Hematology/Oncology
  • 2 or more 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

Nice to have:

  • Additional Board Certification in Internal Medicine
  • Master’s Degree in Public Health Administration, MBA, and/or UM/QA certification
  • Proficiency in MS Office Suite, including Teams and Outlook
What we offer:
  • Affordable medical plan options
  • 401(k) plan including matching company contributions
  • Employee stock purchase plan
  • Wellness screenings
  • Tobacco cessation
  • Weight management programs
  • Confidential counseling
  • Financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
December 01, 2025

Expiration:
December 31, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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