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Medical Director (Cardiology)

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States, Work At Home, 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
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Job offer has expired

Job Description:

The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including post-graduate direct patient care experience. This role supports the clinical teams and medical management programs, guiding the execution of medical services programs. You'll act as a business and clinical liaison and lead all aspects of case management and utilization review.

Job Responsibility:

  • Support the Medical Management staff ensuring timely and consistent responses to members and providers
  • Lead all aspects of utilization review/quality assurance, directing case management
  • Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities
  • Act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams
  • Responsible for predetermination reviews and reviews of claim determinations, providing clinical, coding, and reimbursement expertise

Requirements:

  • 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry
  • Active and current state medical license without encumbrances
  • M.D. or D.O., Board Certification in Cardiology specialty including post-graduate direct patient care experience specifically

Nice to have:

Previous healthcare insurance experience

What we offer:
  • Full range of medical, dental, and vision benefits
  • 401(k) retirement savings plan
  • Employee Stock Purchase Plan
  • Fully-paid term life insurance plan
  • Short-term and long-term disability benefits
  • Well-being programs
  • Education assistance
  • Free development courses
  • CVS store discount
  • Discount programs with participating partners
  • Paid Time Off (PTO) or vacation pay
  • Paid holidays

Additional Information:

Job Posted:
March 19, 2025

Expiration:
May 30, 2025

Employment Type:
Fulltime
Work Type:
Remote work
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