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Medical Director (Medical Affairs)

Medical Director (Medical Affairs)

CVS HealthFlorida, Work At Home, US
Remote
Full-time
Bring your heart to CVS Health.Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced...Show moreLast updated: 30+ days ago
Medical Support

Medical Support

US NavyTallahassee, Florida, US
Full-time
About Navy Hospital Corpsmen provide treatment for thousands of Sailors and Marines, using quick thinking to help keep them fit and ready to serve at the best of their abilities.They may : Assist Na...Show moreLast updated: 30+ days ago
  • Promoted
Medical Translator

Medical Translator

VirtualVocationsTallahassee, Florida, United States
Full-time
A company is looking for freelance translators for English to Russian in the medical field.Key Responsibilities Translate medical documents from English to Russian Ensure accuracy and consistenc...Show moreLast updated: 1 day ago
  • Promoted
Medical Director

Medical Director

Highmark HealthTallahassee, FL, United States
Full-time
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards.The incumbent reviews es...Show moreLast updated: 9 days ago
  • Promoted
Medical Technologist

Medical Technologist

HCA HealthcareTallahassee, FL, US
Full-time +1
Capital Medical Blvd Tallahassee, FL 32308.Do you want to join an organization that invests in you as a Medical Technologist? At HCA Florida Capital Hospital, you come first.HCA Healthcare has comm...Show moreLast updated: 20 days ago
  • Promoted
Medical Assistant

Medical Assistant

Dermatology Solutions GroupTallahassee, FL, US
Full-time
Dermatology Solutions Group, LLC ("DSG") provides professional management services to Southeastern Dermatology Group, P.SEDG"), a medical practice headquartered in Panama City, Florida with locatio...Show moreLast updated: 20 days ago
  • Promoted
Florida Medical Practice Plan OPS Certified Medical Assistants / Medical Office Receptionists (Medicine)

Florida Medical Practice Plan OPS Certified Medical Assistants / Medical Office Receptionists (Medicine)

Florida State UniversityTallahassee, FL, US
Part-time
FSU PrimaryHealth™, FMPP Operations - College of Medicine.FSU SeniorHealth™, FMPP Operations - College of Medicine.FSU BehavioralHealth™ at Apalachee Center, FMPP Operations - Col...Show moreLast updated: 30+ days ago
  • Promoted
MEDICAL DIRECTOR PHYSICIAN

MEDICAL DIRECTOR PHYSICIAN

YesCareTallahassee, FL, United States
Full-time
Graduate of an accredited medical school.Fully licensed to practice medicine in the state of employment.Board certified in primary care specialty (Family Practice, Internal Medicine, Emergency Medi...Show moreLast updated: 15 days ago
  • Promoted
COURIER / NON-DOT

COURIER / NON-DOT

Federal Express CorporationTallahassee, FL, United States
Part-time
Driver / operator of company vehicles.Provides courteous and efficient delivery and pick-up of packages.Checks shipments for conformance to FedEx features of service and provides related customer ser...Show moreLast updated: 6 days ago
Postal Courier Person

Postal Courier Person

Postal RecruitersWoodville, FL, United States
Full-time
Exciting Career Opportunity : Join USPS as a Postal Courier Person.USPS is actively accepting applications for entry Postal Courier Person. Are you looking for a stable and rewarding career with oppo...Show moreLast updated: 13 days ago
  • Promoted
Contractor - On Call Courier Delivery Driver - Must have car / suv - Courier Express.

Contractor - On Call Courier Delivery Driver - Must have car / suv - Courier Express.

KJ MediaTallahassee, FL, US
Full-time
Seeking reliable Independent Contract Drivers for Courier Express.MUST have flexible LATE / OVERNIGHT and WEEKEND availability. Provide your own vehicle (small car or SUV).Valid driver's license (...Show moreLast updated: 30+ days ago
  • Promoted
Medical Director

Medical Director

Grifols Shared Services North America, IncTallahassee, FL, United States
Full-time
Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1...Show moreLast updated: 9 days ago
  • Promoted
Medical Director

Medical Director

Cactus CommunicationsTallahassee, FL, US
Full-time
While we are a remote-first organization, this role is intended for candidates in and around New Jersey and requires travel approximately once a month. Cactus Life Sciences is currently looking to a...Show moreLast updated: 6 days ago
  • Promoted
COURIER

COURIER

FedexTallahassee, FL, United States
Full-time
As a Courier at FedEx, you will be responsible for transporting packages between FedEx facilities and customer locations. You will ensure that all packages are delivered safely and efficiently, main...Show moreLast updated: 30+ days ago
  • Promoted
Medical Director Physician

Medical Director Physician

HealthPlus StaffingTallahassee, FL, USA
Permanent
Medical Director Physician at HealthPlus Staffing summary : .HealthPlus Staffing is seeking a Medical Director for a well-established Primary Care group in Tallahassee, FL. The role involves a balance...Show moreLast updated: 30+ days ago
  • Promoted
Medical Director Physician

Medical Director Physician

Inspire HealthcareNot Specified, FL, USA
Full-time
Geriatric Care for Seniors in Aventura, Florida.Must have leadership experience.Including direct physician reports (not mid-levels). Process improvement experience.Join an expanding state-of-the-art...Show moreLast updated: 30+ days ago
  • Promoted
COURIER / NON-DOT

COURIER / NON-DOT

FedExTallahassee, FL, United States
Full-time
FedEx - JobID : PDX_FEC_E94185D7-BDCE-4446-BA04-0947A5AAB7DB_233545 [Postal Courier / Mail Carrier] As a Courier at FedEx, you'll : Drive or operate company vehicles. Provide courteous and efficient ...Show moreLast updated: 6 days ago
  • Promoted
Medical Assistant

Medical Assistant

Advanced Urology InstituteTallahassee, FL, US
Full-time
The Medical Assistant supports the delivery of urological services, performs work as required and functions as an effective member of the interdisciplinary team. The Medical Assistant is tasked to p...Show moreLast updated: 20 days ago
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Medical Director (Medical Affairs)

Medical Director (Medical Affairs)

CVS HealthFlorida, Work At Home, US
30+ days ago
Job type
  • Full-time
  • Remote
Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose : Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director (Medical Affairs).

The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug information services and pipeline activities, and provision of clinical leadership to various internal departments (e.g., specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients.

The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. In this role you may provide consultative clinical support to Account Management in support of Key Clients as assigned.

The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to prescriber inquiries related to UM transactions and more generally related to CVS Health coverage policies.

Medical Directors at CVS Health are encouraged to model the highest levels of clinical integrity, knowledge and cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise’s decisions and planning.

Each Director is responsible for providing oversight of a portion of CVS Health's clinical programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions / reviews.

Directors will spend a portion of most days completing assigned medication utilization reviews (PA) and / or medical necessity appeals for commercial clients, governmental (Medicare / Medicaid) programs and individual client requested coverage determinations or appeals when appropriate.

Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to one business segment (i.e., Medicare clients), each director will become sufficiently skilled in various UM programs to support other segments (including commercial and Medicaid) on evening and weekend coverage.

In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of published literature around specific pharmaceutical questions or more in-depth projects requiring collaboration with pharmacists within Medical Affairs and in business units outside of the Department. CVS Health, a Fortune 4 company, has an outstanding opportunity for a Medical Director (Medical Affairs).

The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug information services and pipeline activities, and provision of clinical leadership to various internal departments (e.g., specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients.

The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. In this role you may provide consultative clinical support to Account Management in support of Key Clients as assigned.

The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to prescriber inquiries related to UM transactions and more generally related to CVS Health coverage policies.

Medical Directors at CVS Health are encouraged to model the highest levels of clinical integrity, knowledge and cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise’s decisions and planning.

Each Director is responsible for providing oversight of a portion of CVS Health's clinical programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions / reviews.

Directors will spend a portion of most days completing assigned medication utilization reviews (PA) and / or medical necessity appeals for commercial clients, governmental (Medicare / Medicaid) programs and individual client requested coverage determinations or appeals when appropriate.

Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to one business segment (i.e., Medicare clients), each director will become sufficiently skilled in various UM programs to support other segments (including commercial and Medicaid) on evening and weekend coverage.

In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of published literature around specific pharmaceutical questions or more in-depth projects requiring collaboration with pharmacists within Medical Affairs and in business units outside of the Department.

Required Qualifications

  • Minimum of 5 years clinical experience in direct patient care.
  • 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.

Preferred Qualifications

  • Combination of five years of management and / or clinical experience in a managed care environment and health administration, including adequate clinical experience in direct patient care and working with professionals at different levels as a teammate (e.g., RNs, PharmDs, etc.).
  • Master’s Degree in Public Health Administration or MBA preferred, UM / QA certification desired
  • Internal Medicine or Family Medicine Board Certification highly desired.
  • Proficiency in MS Office Suite
  • Education

  • Must be graduate of an accredited Medical School and Residency Program
  • ABMS or AOA Board Certified in a recognized medical specialty, preferably in a Primary Care field (Internal medicine, Family Medicine)
  • Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia
  • Required annual Continuing Medical Education (CME) up to date and must remain current in medical and management areas during employment
  • Pay Range

    The typical pay range for this role is :

    174,070.00 - $374,900.00

    This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

    In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.