Medical Director - (Cardiology)

CVS Health Medical Director - (Cardiology) Trenton, New Jersey Apply Now

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.

Please read the information in this job post thoroughly to understand exactly what is expected of potential candidates.

Position Summary

Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home.

This role can be remote based anywhere in the US.

The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty, including post-graduate direct patient care experience specifically.

This role expands Aetna's medical management programs to address member needs across the continuum of care. In this role, you'll support the Medical Management staff ensuring timely and consistent responses to members and providers.

You will lead all aspects of utilization review / quality assurance, directing case management, and provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities.

You'll act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams.

In addition, you will be responsible for predetermination reviews and reviews of claim determinations, providing clinical, coding, and reimbursement expertise.

Required Qualifications

• 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
• Active and current state medical license without encumbrances.
• M.D. or D.O., Board Certification in Cardiology specialty including post-graduate direct patient care experience specifically.

Preferred Qualifications

Previous healthcare insurance experience.

Education

M.D. or D.O., Board Certification in a Cardiology specialty.

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.

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.

For more detailed information on available benefits, please visit jobs.CVSHealth.com / benefits.

We anticipate the application window for this opening will close on : 09 / 30 / 2024.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws.

We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

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