Medical Director – Radiation Oncology

Job not on LinkedIn

🔥 1 hour ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $174.1k - $374.9k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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CVS Health Careers

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Support Oncology initiatives throughout the enterprise • Oversee utilization review and quality assurance • Conduct predetermination reviews and review claim determinations • Provide input for medical policy implementation • Handle prior authorization, pre-certification, concurrent reviews, peer-to-peer calls, first-level appeals, special projects, and committee participation • Provide clinical, coding, and reimbursement expertise • Direct case management when necessary • Participate in the development, implementation, and evaluation of clinical and medical programs • Expand medical management programs to address member needs across the continuum of care • Support Medical Management staff in providing timely and consistent responses to members and providers • Provide clinical expertise and business direction 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 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 per quarter for team or client-facing meetings • Previous UM experience with a Health Plan / Payor preferred • Previous UM experience as a Physician Advisor in a Health / Hospital system preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being

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