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, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. **This is a remote-based (work from home) role.** In this role as Medical Director (Behavioral Health), you will: * Provide leadership and day-to-day physician oversight for utilization management team, including the management of high-risk cases and medical necessity decisions * Provide comprehensive behavioral health care management to facilitate delivery of appropriate quality care and improve program/operational efficiency involving clinical issues * Participate in the appeals process, including the investigation of adverse events and quality of care concerns * Provide psychiatric leadership to an interdisciplinary utilization management team, including medical/clinical oversight, consultation and training * Provide day-to-day physician oversight including management of high-risk cases throughout treatment/levels of care and medical necessity decisions * Assist with the development, implementation, monitoring and evaluation of the utilization management program and action plan, ensuring quality and appropriateness of care * Assist with the development, implementation and interpretation of medical policy including medical necessity criteria, clinical practice guidelines and new technology assessments * Participate in the development, implementation, and evaluation of clinical/medical programs * Confer with behavioral health practitioners regarding the care of patients with severe, complex and/or treatment resistant illnesses * Identify and address quality of care concerns with providers involved in a member's care * Provide psychiatric leadership for NCQA-compliant clinical quality improvement activities in collaboration with clinical and quality improvement staff * Participate in the triage and referral for care management * Provide weekend coverage every 6-7 weeks. * Perform other duties as deemed necessary. Required Qualifications * Board Certification in Psychiatry * Active and current state medical license without encumbrances, and ability to obtain other state licenses. Preferred Qualifications * Minimum 5 years of clinical practice experience in the health care delivery field as a psychiatrist. * Experience with managed care, as a provider and manager of care utilization review or physician advisor experience. * Child/Adolescent Board Certification Education MD or DO. 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: 03/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

• responsible for behavioral health care strategy and/or operations • develop procedures, processes, productivity targets, and new delivery models • maintain efficient operations while ensuring attainment of quality of care and financial goals • provide information for pricing guidelines based on utilization patterns and client demographics • make decisions on moderately complex to complex issues regarding technical approach for project components • actively use medical background, experience, and judgement to make determinations on requested services • support Humana values and Humana’s Bold Goal mission, throughout all activities

Job Description Agent(e) de liaison médicale et scientifique national - Ophtalmologie Territoire: Canada Relevant du Responsable des Liaisons Médicales et Scientifiques, Médecine générale et spécialisées, l’agent(e) de liaison médicale et scientifique national est un professionnel médical sur le terrain dont la responsabilité principale consiste à communiquer d’égal à égal de façon non promotionnelle et à utiliser son savoir-faire social poussé pour offrir des renseignements médicaux et scientifiques aux leaders scientifiques ou les décideurs clés basés sur un échange et des services scientifiques de pointe favorisant les intérêts et les besoins professionnels du partenaire professionnel. L’agent(e) de liaison médicale et scientifique s’assure qu’il ou elle connaît à fond le domaine thérapeutique (ophtalmologie) et toutes les études importantes tant en cours que terminées, les renseignements sur les produits concernant les thérapies pertinentes de Notre entreprise et autres sociétés, les données cliniques et les données sur les produits en développement pertinentes pour offrir les données les plus équilibrées aux les leaders scientifiques, aux décideurs clés et au secteur de la santé pour améliorer les soins aux patients. Rôles et responsabilités: - Faire des échanges non promotionnels d’égal à égal de renseignements médicaux et scientifiques avec les leaders scientifiques ou les décideurs clés dans la mesure où la loi et la réglementation locales, les codes sectoriels locaux et les autres dispositions du mode opératoire normalisé médical sur le terrain le permettent. - Obtenir des intuitions profondes sur les maladies, le domaine thérapeutique et les besoins en matière de soins de santé, les lacunes dans les données et les défis liés à la géographie locale. - Représentant les Affaires médicales à des événements médicaux locaux ou régionaux non promotionnels (p. ex., congrès ou symposiums médicaux), collaborer à la coordination des renseignements scientifiques avant l’événement et aux résumés scientifiques après l’événement. - Répondre aux demandes non sollicitées de renseignements médicaux ou scientifiques ou sur les produits en développement ou sur le marché ou aux indications des leaders scientifiques ou les décideurs clés au moyen de matériel scientifique approprié et approuvé. - Répondre (seul à seul) aux demandes non sollicitées de renseignements sur les recherches de la société et/ou les activités en matière de subventions en aiguillant les leaders scientifiques ou les décideurs clés vers les ressources appropriées de la société pour les subventions, la participation à des essais cliniques commanditée, le programme d’études de chercheurs de Notre entreprise et les recherches sur les résultats. - Participer aux réunions du conseil consultatif scientifique ou aux forums de discussions d’experts quand il y a un rôle défini. - Participer aux plans des Affaires médicales et à la mise en œuvre d’activités indiquées dans les plans des Affaires médicales. - À la demande des Opérations mondiales liées aux essais cliniques ou du Centre mondial d’études d’observation et d’études de vie réelle, appuyer l’identification d’investigateurs de l’étude potentiels pour l’étude commanditée. Qualifications: - ​Détenir un diplôme en pharmacie (BSc.) ou doctorat (Pharm. D.); doctorat (PhD) en sciences de la santé (lié au domaine de la maladie de préférence) ou en médecine (MD). - Minimum de deux ans d’expérience comme agent(e) de liaison médical en industrie - Connaissance du domaine thérapeutique de l'ophtalmologie (documentation de base et clinique) est un atout. - Capacité démontrée à acquérir et à entretenir des connaissances sur les produits, les maladies et les compétiteurs. - Compétences linguistiques : la maîtrise du français est requise - Solides compétences en relations interpersonnelles. - Compétences en gestion des budgets. - Très bonne connaissance des politiques et des procédures de la société ainsi que des normes, lois et règlements de l’industrie. - Capacité à analyser et à comprendre la communauté locale de la pratique. - Capacité à comprendre et à assimiler des concepts scientifiques complexes - Connaissance avancée de la technologie et des logiciels Office. - Compétences avancées en analyse, en planification, en mise en œuvre et en suivi. - Compétences avancées en négociation, en présentation et en animation. - Compétences avancées en gestion de projet. - Le (la) candidat(e) doit être basé(e) au Québec ou en Ontario Nous sommes fiers d'être une entreprise qui embrasse la valeur de rassembler des personnes diversifiées, talentueuses et engagées. La façon la plus rapide d’innover est de rassembler des gens de diverses opinions dans un environnement inclusif. Nous encourageons nos collègues à remettre en question avec respect les problèmes de réflexion et d’approche de l’un et de l’autre. Nous sommes un employeur souscrivant au principe de l’égalité d’accès à l’emploi et nous sommes déterminés à favoriser un milieu de travail inclusif et diversifié. Required Skills: Adaptability, Clinical Data, Data Analysis, Interpersonal Relationships, Medical Affairs, Medical Marketing Strategy, Ophthalmology, Project Management, Relationship Building, Scientific Communications, Scientific Exchange, Scientific Leadership, Teamwork, Therapeutic Knowledge Preferred Skills: Current Employees apply HERE Current Contingent Workers apply HERE Secondary Language(s) Job Description: National Medical Scientific Liaison - Ophthalmology Territory: Canada Reporting to the Medical Scientific Liaison Manager, General and Specialty Medicine, the National Medical & Scientific Liaison is a field-based medical professional whose primary responsibility is to engage in non-promotional peer-to-peer communication, using very strong interpersonal skills & provide medical/scientific information to Scientific Leaders and Key Decision Makers based on cutting-edge scientific exchange and services oriented towards the stakeholder’s professional interests & needs. The Medical Scientific Liaison is responsible for ensuring that they are fully versed in the therapeutic area (Ophthalmology) and up to date on all major studies, both ongoing and completed, product information on our Company’s and other companies’ relevant therapies, clinical data and relevant pipeline data to provide the most balanced data to Scientific Leaders, Key Decision Makers and the healthcare community to improve patient care. Roles and responsibilities: - ​Engaging in non-promotional peer-to-peer exchange of medical and scientific information with Scientific Leaders or Key Decision Makers to the extent permitted by law and local regulation, local industry codes, and other provisions of the Field medical standard operating procedure. - Gaining deep insights on disease, therapeutic area and healthcare needs, data gaps and challenges in their local geography. - Representing Medical Affairs at local or regional non-promotional Medical events (e.g. Medical Congresses and Symposia) They may collaborate in the coordination of pre-event scientific information and post-event scientific summaries. - Responding to unsolicited requests for medical, scientific, pipeline or marketed product information or indications from Scientific Leaders or Key Decision Makers utilizing appropriate approved scientific materials. - Responding (one-to-one) to unsolicited requests for information on company research and/or grant activities by directing Scientific Leaders or Key Decision Makers to appropriate company resources for grants, sponsored clinical trial involvement, our Company’s Investigator Study Program, and outcomes research. - Participating in Scientific Advisory Board Meetings or Expert Input Forums when there is a defined role. - Participating in the development of Medical Affairs Plans and implementation of activities identified in the Medical Affairs Plans. - At Global Clinical Trials Organization, or Center for Observational and Real World Research personnel request, supporting the identification of potential study investigators for sponsored study Qualifications: - Hold a degree in pharmacy (Bachelor's degree or Doctorate); PhD Degree in Health Sciences (preferably in related disease area) or Doctorate in Medicine. - Minimum of two years of experience as Medical Scientific Liaison - Knowledge in the therapeutic area of Ophthalmology (both basic and clinical literature) is an asset. - Demonstrated ability to acquire and maintain product, disease and competition knowledge. - Language: Fluency in French is required - Strong interpersonal skills. - Budget management skills. - Strong knowledge of Company policies, procedures, industry standards, as well as laws and regulations. - Ability to analyze and understand local community of practice. - Ability to comprehend and integrate complex scientific concepts - Advanced knowledge of Office technology and related software. - Advanced Analysis, Planning, Implementation and Control skills. - Advanced negotiation, presentation, and facilitation skills. - Advanced project management skills. - Candidates must be based in Ontario or Quebec We are proud to be a company that embraces the value of bringing diverse, talented, and committed people together. The fastest way to breakthrough innovation is when diverse ideas come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another’s thinking and approach problems collectively. We are an equal opportunity employer, committed to fostering an inclusive and diverse workplace. Search Firm Representatives Please Read Carefully Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails. Employee Status: Regular Relocation: No relocation VISA Sponsorship: No Travel Requirements: 50% Flexible Work Arrangements: Remote Shift: Not Indicated Valid Driving License: Yes Hazardous Material(s): no Job Posting End Date: 04/15/2026*A job posting is effective until 11:59:59PM on the day BEFORE the listed job posting end date. Please ensure you apply to a job posting no later than the day BEFORE the job posting end date. Requisition ID:R384511

Role Description The Medical Receptionist is the first point of service for our patients coming into the practice and is responsible for: - Greeting, registering, and scheduling patient appointments. - Verifying insurance eligibility and benefits. - Collecting co-payments and obtaining routine financial information from various sources to obtain payment plan arrangements and Medicare coverage. - Answering the phone and acting as a primary source of information to patients in the waiting area. - Performing various clerical duties, including maintaining departmental deposit logs, preparing routine schedules and reports, and utilizing analytical skills necessary to maintain provider schedules. - Answering the telephone in a pleasant and helpful manner. - Coordinating patient movement and reporting problems or irregularities. - Completing full patient registration in IDX when registering new patients and ensuring all patient information is updated and current when following up/interacting with patients. - Verifying insurance eligibility and/or benefits. Qualifications - High School Graduate/GED. - Basic computer skills: Outlook, Windows-based and Google Suites based programs. - Preferred: Previous medical office and/or insurance experience. - Bi-lingual skills. Requirements - Preferred candidate resides in Arizona due to a one-week mandatory onsite training in Prescott, AZ. - This is a fully remote position after the training period.