Support the execution of pharmaceutical educational programs by coordinating logistics, managing registrations, and ensuring compliance with budget guidelines while assisting with on-site event setup and post-meeting financial reconciliation.

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 Senior Medical Director to provide end-to-end clinical and operational leadership for Medicare and other activities, ensuring the highest standards of quality, compliance, and efficiency across the continuum of services. This leader is responsible for developing, training, and managing the Precertification Team, ensuring compliance, efficiency, and evidence-based decision making, driving process improvement, and fostering a collaborative team culture. This senior level MD serves as a key liaison between clinical and non-clinical stakeholders to ensure effective operations, communication, and strategic alignment. This role provides strategic leadership and oversight for clinical operations by developing and implementing clinical policies and protocols, ensuring high-quality patient care, overseeing clinical functions, promoting evidence-based practices, and collaborating with cross-functional leaders to improve clinical outcomes and patient safety. They apply medical expertise, leadership skills, and knowledge of industry standards to drive clinical excellence, optimize resources, and contribute to the overall success of the organization's clinical operations. Primary Job Duties & Responsibilities: - Provides strategic direction, professional oversight, and leadership throughout the precert process and other clinical operations. - Collaborates with executive leadership to develop and implement strategies that align with healthcare objectives, improve processes, drive innovation, and positively impact members and providers. - Leverages medical and operational expertise to develop and align the company's goals with clinical strategies and regulatory requirements. - Collaborates with cross-functional leaders to shape and drive the clinical operations strategy and initiatives, ensuring optimal quality and efficiency. - Establishes clinical standards and oversees clinical governance structures to ensure patient safety and the provision of quality care. - Leads the development of clinical processes and programs, such as clinical protocols, guidelines, treatment pathways, and training curricula. - Manages operations of the Medicare Precertification MD Team, in alignment with governing policies and procedures. - Leads teams through Medicare audits and on-going audit readiness. - Stays updated on relevant scientific evidence, industry standards, and regulatory changes to ensure organizational compliance and relevance. - Develops and maintains relationships with key stakeholders, such as government agencies, providers, and professional organizations. - Develops and continuously monitors key metrics to assess the performance of strategic initiatives and processes, making adjustments as needed. - Provides mentorship, professional development opportunities, and support to physicians, promoting their growth and ensuring a cohesive and skilled medical team. - Collaborates with legal and compliance teams to ensure developed clinical processes and solutions comply with all applicable regulatory requirements. Required Qualifications: - MD or DO with active, unrestricted license and board certification in an ABMS or AOA recognized specialty - Minimum 5 years of direct patient care in a clinical setting - Minimum 5 years in utilization management, precertification, or related roles - Deep expertise in Medicare regulations, including NCDs, LCDs, Medicare manuals, and regulatory references - Proven ability to interpret and apply Medicare guidelines to complex case review and decision-making - Advanced knowledge of medical coding standards, compliance requirements, and oversight of coding practices - Demonstrated leadership in managing teams, driving process improvement, and ensuring regulatory compliance - Successful track record guiding teams through Medicare audits and maintaining audit readiness - Strong interpersonal, communication, and cross-functional stakeholder management skills - Commitment to developing talent and fostering an inclusive, high-performing team culture Preferred Qualifications: - Experience working in large, matrixed healthcare organizations - Familiarity with data analytics and performance management tools - Certified Professional Coder (CPC) credential or equivalent certification - Proficiency with multiple documentation platforms for acute utilization management and appeals - Prior leadership roles with increasing responsibility Education: MD or DO Pay Range The typical pay range for this role is: $184,112.00 - $396,550.00 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: 05/01/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Physician -Medical Director San Mateo CA Remote – Part time Telehealth ~5 hours per Month We are looking for a physician to join our group remotely, to provide oversight to our clinic and staff at our office in the San Mateo CA area. The physician’s duties will be minimal, mainly providing chart reviews and occasional patient consultations, which can all be done remotely through telehealth. We are offering a flexible schedule and can work with the incoming physicians requested days/times. Great work/life balance with no call, nights, or holidays! Though the position is remote, the incoming physician must be licensed in CA, and they must be willing to oversee our wellbeing/nutritional IV services. Duties: - Perform patient/chart review to assure proper treatment procedures are being followed - Availability for consultation and direction of the staff - Telehealth patient consultations - Place standing orders for patients - Answer patient’s questions and address concerns as needed - Follows established policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards. Requirements: - BCBE Physician with completion of an accredited medical school - MD or DO License to Practice Medicine in CA Compensation: - $3,000-$4,000 per month + Potential Bonus compensation based on office production HCRC Staffing

Where You’ll Work At Dignity Health, living our values means bringing passion into action every day. Dignity Health-Yavapai Regional Medical Center (DH-YRMC), now part of CommonSpirit Health, is a not-for-profit integrated healthcare provider that offers a broad range of inpatient and outpatient services including network-wide opportunities to advance your career. What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers. As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work and to enjoy the outdoors. · It is an inviting community with bygone charm and modern amenities. · Local residents enjoy four spectacular seasons, while the area offers nearly year-round sunshine for any outdoor adventures. · The carefree, relaxed lifestyle offers short commute opportunities, so you can focus on your career and your family. Dignity Health-Yavapai Regional Medical Center extends this feeling with a strong sense of family, security, and belonging. Our compassion and commitment to quality care has earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020) and America’s 100 Best Hospitals for Stroke Care Awards (2020, 2021) and has placed us at the top of the charts in community and nationwide in healthcare. Come experience the incredible quality-of-life that Dignity Health-YRMC and Prescott has to offer! #hellohumankindness Job Summary and Responsibilities *Preferred candidate reside in Arizona due to a one week mandatory onsite training in Prescott, AZ. This is a fully remote position after training period* The Medical Receptionist is the first point of service for our patients coming into the practice and is responsiblefor greeting, registering and scheduling patient appointments. Responsible for verifying insurance eligibility andbenefits. Collects co-payments and obtains routine financial information from various sources to obtain paymentplan arrangements and Medicare coverage. He/she also answers the phone and acts as a primary source ofinformation to patients in the waiting area. - Performs various clerical duties to include: Maintain departmental deposit logs, prepare routine schedules and reports, utilize analytical skills necessary to maintain provider schedules - Answers the telephone in a pleasant and helpful manner - Coordinate patient movement, reports problems or irregularities - Complete full patient registration in IDX when registering new patients. Ensure all patient information is updated and current when following up/interacting with patients. Verify insurance eligibility and/or benefits. Job Requirements Required High School Graduate/GED Basic computer skills. Outlook, Windows-based and Google Suites based programs., upon hire or Preferred Previous medical office and/or insurance experience Bi-lingual skills