We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Aetna, a CVS Health company, has an outstanding opportunity for a Medical Director. Ready to take your career to the next level with a Fortune 6 company? This is a remote Work at Home position and can be located anywhere in the United States. In this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy. This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas. Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential. The Primary Responsibilities of this Medical Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment. This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas. In this role you will: ◾Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services. ◾Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests. ◾Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services. ◾ Be a subject matter expert, internal consultant and payment policy contributor subject matter expertise and internal consultant. ◾Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company. ◾Work Collaboratively with the functional areas. Required Qualifications *Five (5) 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 an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications * Health plan/payor experience. * Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems. * Strong communication skills both written and verbal. Education * M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Pay Range 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 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 all 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/benefits We anticipate the application window for this opening will close on: 03/20/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description The Drug Information Pharmacist serves as a critical member of the Pharmacy & Therapeutics (P&T) team, responsible for synthesizing and delivering accurate, evidence-based drug information to support formulary development and clinical decision-making. This role ensures the integrity of drug monographs, therapeutic class reviews, and formulary documentation while maintaining compliance with regulatory standards. The position will create draft reviews for submittal to Drug Information Manager for approval prior to delivery to P&T committee. The Drug Information Pharmacist will research, analyze, and synthesize clinical data to develop formulary recommendations and support P&T Committee activities. This individual will monitor FDA approvals, safety alerts, and pipeline developments, ensuring timely updates to formulary content. The role requires strong analytical skills, attention to detail, and the ability to communicate complex clinical information effectively to diverse stakeholders. Responsibilities - Conduct comprehensive literature reviews and evaluate clinical evidence for medications and therapeutic classes. - Develop and maintain drug monographs, comparative effectiveness analyses, and formulary recommendations for P&T Committee review. - Prepare and present clinical content to Drug Information Manager for P&T Committee meetings, including therapeutic class reviews and formulary change proposals. - Monitor FDA approvals, safety alerts, and pipeline developments to inform formulary strategy. - Maintain accurate and up-to-date formulary documentation and communicate changes to internal stakeholders. - Ensure compliance with regulatory and accreditation standards related to formulary management and P&T processes. Qualifications - Clinical Expertise: Strong knowledge of pharmacotherapy and evidence-based medicine. - Drug Information Analysis: Ability to critically evaluate clinical literature, guidelines, and comparative effectiveness data. - Regulatory Awareness: Understanding of FDA regulations, safety alerts, and compliance requirements for formulary processes. - Technical Proficiency: Familiarity with drug information databases (e.g., Medispan, First Data Banks) and formulary management tools. - Data Analytics: Ability to interpret formulary data structures and communicate data effectively with finance and analytics teams. Proficiency in Microsoft Excel is required. - Communication Skills: Excellent written and verbal communication for preparing P&T materials and presenting to committees. - Collaboration: Ability to work effectively with clinical, financial, and operational teams to align formulary decisions with organizational goals. - Problem-Solving: Strategic thinking to balance clinical and financial considerations in formulary development. Requirements - Required: Doctor of Pharmacy (PharmD) or Bachelor of Science in Pharmacy. - Active Registered Pharmacist (RPh) license in good standing. - Preferred: Completion of a Drug Information or Managed Care Pharmacy residency. - Advanced training or certification in pharmacotherapy, formulary management, or evidence-based medicine. - Minimum 3–5 years of experience in drug information, formulary management, or managed care pharmacy. - Strong background in evidence-based medicine and clinical literature evaluation. - Preferred: Experience in managed care organizations, PBMs, or GPOs. - Exposure to cost-effectiveness analysis and integration of clinical insights with financial considerations. - Prior involvement in pipeline monitoring and formulary strategy development. - Experience collaborating with analytics and finance teams for rebate and formulary optimization. - Hands-on experience preparing and presenting clinical content for Pharmacy & Therapeutics (P&T) Committees. Compensation $105,000-115,000 per year. The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description Ultragenyx is seeking an experienced physician leader with a passion for rare and ultra-rare diseases. Reporting to the Global Medical Lead, the Director will be a key contributor to shaping the strategy and executing the medical affairs plans for LC-FAOD, MPS VII, and MPS IIIA. This role offers a unique opportunity to be part of highly collaborative cross-functional teams working on both approved therapies (Dojolvi and Mepsevii) and an investigational AAV gene therapy (UX111) as we prepare for future potential launches. Work Model: Remote: Officially documented as working full-time from home, with travel to Ultragenyx's offices or other locations on occasion as needed. Responsibilities: - Provide strategic medical and scientific leadership to LC‑FAOD (Dojolvi) and the MPS programs (MPS VII and MPS IIIA) to support the development and execution of the global medical plans. - Contribute to the development and execution of the annual Integrated Evidence Generation Plans. - Provide medical expertise and leadership to Real-World Evidence initiatives (e.g., ISTs, collaborative research) and the Disease Monitoring Programs for LC‑FAOD and MPS focused on data generation and publication activities. - Act as a subject matter expert in assigned therapeutic areas, guiding and contributing to the execution of key global medical affairs activities including advisory boards, medical education initiatives, and congress activities. - Lead robust scientific engagement and education, maintaining strong relationships with external stakeholders to generate insights and advance scientific understanding of assigned programs. - Provide scientific and medical leadership as needed for publication and medical communication material development. - Serve as a medical reviewer for promotional materials and non-promotional scientific materials ensuring accuracy, balance, strategic alignment, and compliance with regulatory requirements. - Provide subject matter expertise to develop and deliver training across the organization. - Collaborate cross-functionally with Clinical Development, Commercial, Regulatory, HEOR, Biostatistics, Patient Advocacy, Regional Medical Teams, and others to achieve program goals. Qualifications - Medical Doctor (MD or DO) required. - Clinical expertise in the management of patients with inherited metabolic and/or neurodegenerative rare diseases strongly preferred. - At least 2 years of experience in the pharmaceutical industry is preferred, but extensive relevant clinical experience may be considered as an alternative. - Strategic thinker with strong execution discipline and a proven ability to manage multiple projects. - Ability to interpret and communicate complex clinical and scientific information to a range of audiences. - Highly analytical in approach to work, with the ability to identify interdependencies, consider the medical implications, and understand the broader goals of a program and the organization. - Ability to work independently and as a member of a cross-functional matrix team in a fast-paced environment. - High attention to detail, demand for high-quality work, and sense of passion and urgency to achieve goals and improve the lives of patients. - Willingness and ability to travel up to 15%, including domestic and international engagements. Benefits - Generous vacation time and public holidays observed by the company. - Volunteer days. - Long term incentive and Employee stock purchase plans or equivalent offerings. - Employee wellbeing benefits. - Fitness reimbursement. - Tuition sponsoring. - Professional development plans. - Benefits vary by region and country.

• Providing high-level medical oversight for the practice structure and policies • Assisting with the development of treatment guidelines and clinical protocols • Supporting regulatory compliance and adherence to state requirements • Advising leadership on best practices related to personal injury medicine • Participating in strategic planning and practice growth initiatives • Serving as Medical Director in accordance with Utah state regulatory requirements