Medical Director – Radiation Oncology

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🔥 41 minutes ago

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Support Oncology initiatives throughout the enterprise • Oversee utilization review and quality assurance while being responsible for predetermination reviews and review of claim determinations • Provide input for medical policy implementation • Provide clinical, coding, and reimbursement expertise • Direct case management when necessary • Participate in the development, implementation, and evaluation of clinical/medical programs • Expand medical management programs to address member needs across the continuum of care • Provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities • Act as a business and clinical liaison to network providers and facilities • Participate in a weekend, holiday and on-call rotation

🎯 Requirements

• M.D. or D.O. with a current, active, U.S. state medical license that is in good standing • Board certified in Radiation Oncology, recognized by the American Board of Medical Specialties, or American Osteopathic Association • Eligible to acquire additional state licensure as required • 3+ years of relevant radiation oncology experience in a patient care, or managed care setting post residency • Ability to travel 1-2 times/quarter for team or client-facing meetings

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support physical, emotional, and financial well-being

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