CVS Health·2 days ago
2 days ago
Medical Director (Medical Policy & Operations)
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What you'll do
- provide clinical expertise in medical policy and operations
- focus on high-quality, constituent-focused care
- conduct clinical claim review
- develop and manage payment policy
What they're looking for
- medical license
- board certification
Summarised by NextRaise from the employer’s description, which follows in full below.
Full description from employer
Exciting opportunity for a Medical Director to provide clinical expertise in medical policy and operations, focusing on high-quality, constituent-focused care. Key responsibilities include clinical claim review and payment policy. Ideal for experienced healthcare professionals with strong clinical and policy knowledge.
Skills
- medical license
- board certification
- clinical policy
- health care systems
- coding
- reimbursement
- claims review
- appeals management
- data analysis
- quality improvement
- health policy
- clinical practice
- health care industry knowledge
- team leadership
- health plan experience
- patient care
- written communication
- verbal communication
- consulting
- process improvement
Company
CVS Health
Work at Home, United States of America
Company facts come from this company's own listings. We only show what the postings themselves carry.