Medical Director - National UM Team
HumanaFull Time
Senior (5 to 8 years), Expert & Leadership (9+ years)
Buffalo Grove, Illinois, United States
Key technologies and capabilities for this role
Common questions about this position
The typical pay range for this role is $128,750.00 - $239,250.00.
This is a hybrid role, based in-office 3 days/wk with the opportunity to work from home the remaining days. Candidate must reside in commutable distance to our Buffalo Grove, IL, Pittsburgh, PA, or New York, NY office locations.
Required qualifications include a current pharmacist license, 5+ years pharmacist experience in a PBM environment, 3+ years people leadership in PBM, BCOP certification or eligibility, and in-depth knowledge of utilization management processes like prior authorization and step therapy. Key skills include managing teams in a matrixed environment, partnering with stakeholders, excellent communication, and handling complex projects.
CVS Health emphasizes building a world of health around consumers with dedicated, purpose-driven colleagues passionate about transforming health care in a connected, convenient, and compassionate way.
Strong candidates will have a PharmD or BS in Pharmacy, active pharmacist license, PBM experience including 5+ years as a pharmacist and 3+ years in leadership, BCOP certification, deep utilization management knowledge, and proven skills in matrix team management, stakeholder partnering, and cross-functional project execution. Preferred qualifications include a PGY1 Managed Care Residency and 5+ years of people leadership.
Comprehensive pharmacy and healthcare services
CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.