Medical Director leading US medical strategy for Pulmonary products in a biopharmaceutical company. Delivering integrated medical plans and providing scientific expertise to enhance patient care and treatment outcomes.
About the role
- Medical Director Associate role at CarelonRx focusing on pharmacy prior authorizations and clinical guidance. Collaborate with clinicians and physicians for compliance and timely approvals.
Responsibilities
- Provides clinical guidance for pharmacy prior authorizations
- Conducts peer-to-peer prior authorization reviews with physicians
- Supports timely responses to members and providers
- Participates in a physician on-call weekend rotation
Requirements
- Requires MD or DO with Board certification from ABMS or AOA
- Must possess an active unrestricted medical license to practice
- Minimum of 5 years of clinical experience
- Preferred: Utilization management experience
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
- Paid holidays
- Paid Time Off
- Medical, dental, vision benefits
- Short and long term disability benefits
- Life insurance
- Wellness programs
- Financial education resources
Job title
Job type
Experience level
Salary
Degree requirement
Location requirements
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