Medical Director - Radiation Oncology - MD or DO

About the role

The Radiation Oncology Medical Director supports the CVS Health Specialty oncology business in managing oncology specific utilization of providers, clinical reviews of oncology specific data, and assisting with growing the oncology footprint. This is a remote based (work from home) position.

Responsibilities

• Provide oversight for medical policy implementation
• Support timely and consistent responses to members and providers
• Focus on prior authorization cases and consultation cases
• Provide clinical, coding, and reimbursement expertise as well as directing 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
• Support the Medical Management staff ensuring timely and consistent responses to members and providers
• 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 to support the effective execution of medical services programs by the clinical teams
• 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
• 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

Qualifications

• Previous UM experience with a Health Plan / Payor
• Previous UM experience as a Physician Advisor in a Health / Hospital system

Skills

Preferred qualifications include previous UM experience with a Health Plan / Payor and previous UM experience as a Physician Advisor in a Health / Hospital system.

Benefits

This is a full-time/exempt-level position, and the hours will typically be around the framework of 9:00-6:00 Eastern Time. The typical pay range for this role is $174,070.00 - $374,920.00. 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.