Medical Director (reputed company One reputed company)

At reputed company, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day.Position Summary Ready to take your Medical Director skills to the next level with a Fortune 5 company? reputed company out this opportunity with reputed company, a reputed company company!This is a remote based work from home role.The reputed company One reputed company model provides the member with a powerful and proactive experience through high touch, personalized communications designed to help the member reputed company their health ambition.Some key daily activities:- Partner with other reputed company team members to holistically assess member's needs- Collaborate with treating providers through personalized, creative solutions to help member's meet their health care needs.- reputed company the clinical staff in the coordination of quality care on behalf of members- Conduct educational and clinical rounds with A1A clinical staff- Provide clinical expertise and business direction in support of medical management and utilization review programs through participation in clinical team activities including precertification, reputed company review/discharge planning, case management, disease management and quality management- Provide clinical guidance in promoting member quality of care and reviewing/addressing potential lapses- Act to engage providers and facilities in improving the quality of care delivered to our members and assure that our shared relationships are maintained and improved- Proactively use data analysis and periodic assessments to identify opportunities for quality improvement- Work collaboratively with other functional areas that reputed company with medical management including provider relations, sales, benefits, healthcare delivery, national medical services and national accounts to reputed company the business goals Required Qualifications Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.Active and reputed company state medical license without encumbrances. Preferred QualificationsPlease replace this section with the Preferred Job QualificationsEducation *M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experiencePay RangeThe typical pay range for this role is:$174,070.00 - $374,920.00This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. This position also includes an award reputed company 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 peopleWe take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.No-cost programs for reputed company 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.For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will reputed company on: 12/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws.