Signify Health
Medical Director - Medical Affairs (Oncology)
Signify Health, Decatur, Illinois, United States, 62523
Medical Director - Medical Affairs (Oncology)
Base pay range $174,070.00/yr - $374,920.00/yr
Position Summary: CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs (Oncology). We need a Board Certified Oncologist for this remote‑based at‑home role. The Medical Affairs department provides clinical business support to the entire enterprise and supplies 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, pipeline activities, and provision of clinical leadership to various internal departments. The Medical Director will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM, including providing consultative clinical support to Account Management for key clients, transacting utilization management (prior authorization and appeals), and responding to prescriber inquiries related to UM transactions. Medical Directors are encouraged to model the highest levels of clinical integrity, knowledge, and cross‑functional thinking and decision making. Responsibilities include overseeing portions of CVS Health clinical programs, reviewing utilization management criteria, completing assigned medication utilization reviews and appeals, participating in inter‑rater review activities, and performing special clinical investigations and research as requested by the Senior Medical Director.
Required Qualifications 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.
Preferred Qualifications Additional Board Certification in Internal Medicine is highly preferred. Combination of five years of management and/or clinical experience in a managed care environment and health administration. Master’s Degree in Public Health Administration, MBA, and/or UM/QA certification. Proficiency in MS Office Suite, including Teams and Outlook.
Education M.D. or D.O., Current and Active Board Certification in ABMS or AOA‑recognized specialty; Oncology, Internal Medicine. Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia. Up to date in Continuing Medical Education (CME) requirements for board certification(s) and licensure. Pay Range $174,070.00 - $374,920.00
Benefits Affordable plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
#J-18808-Ljbffr
Position Summary: CVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs (Oncology). We need a Board Certified Oncologist for this remote‑based at‑home role. The Medical Affairs department provides clinical business support to the entire enterprise and supplies 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, pipeline activities, and provision of clinical leadership to various internal departments. The Medical Director will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM, including providing consultative clinical support to Account Management for key clients, transacting utilization management (prior authorization and appeals), and responding to prescriber inquiries related to UM transactions. Medical Directors are encouraged to model the highest levels of clinical integrity, knowledge, and cross‑functional thinking and decision making. Responsibilities include overseeing portions of CVS Health clinical programs, reviewing utilization management criteria, completing assigned medication utilization reviews and appeals, participating in inter‑rater review activities, and performing special clinical investigations and research as requested by the Senior Medical Director.
Required Qualifications 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.
Preferred Qualifications Additional Board Certification in Internal Medicine is highly preferred. Combination of five years of management and/or clinical experience in a managed care environment and health administration. Master’s Degree in Public Health Administration, MBA, and/or UM/QA certification. Proficiency in MS Office Suite, including Teams and Outlook.
Education M.D. or D.O., Current and Active Board Certification in ABMS or AOA‑recognized specialty; Oncology, Internal Medicine. Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia. Up to date in Continuing Medical Education (CME) requirements for board certification(s) and licensure. Pay Range $174,070.00 - $374,920.00
Benefits Affordable plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
#J-18808-Ljbffr