FREE ACCESS
5,000–10,000 jobs/day
See all jobs on Scoutfield
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
Medical Director – Radiation Oncology
CVS Health. Support oncology initiatives throughout the enterprise .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Radiation Oncology with a focus on clinical, coding, and reimbursement practices. Proven ability to oversee utilization review, quality assurance, and medical policy implementation while providing clinical direction and support to medical management programs.
Highest-signal resume keywords
M.D. Or D.O. DegreeBoard Certified In Radiation Oncology3+ Years Radiation Oncology ExperienceUtilization Management ExperienceClinical Expertise
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Utilization ReviewQuality AssurancePredetermination ReviewsPrior AuthorizationConcurrent ReviewsPeer-To-Peer CallsFirst-Level AppealsCase ManagementClinical Program DevelopmentMedical Management
Soft Skills
CommunicationCollaborationLeadership
Certifications & Qualifications
Current U.S. State Medical LicenseBoard Certification In Radiation Oncology
Industry Keywords
Oncology InitiativesHealth PlanManaged CarePatient CareClinical Team Activities
About the role
Key responsibilities & impact- Support oncology initiatives throughout the enterprise
- Oversee utilization review and quality assurance
- Perform predetermination reviews and review claim determinations
- Provide input for medical policy implementation
- Conduct prior authorization, pre-certification, concurrent reviews, peer-to-peer calls and first-level appeals
- Participate in special projects and committees as needed
- Provide clinical, coding and reimbursement expertise
- Direct case management when necessary
- Develop, implement and evaluate clinical and medical programs
- Expand medical management programs to address member needs across the continuum of care
- Support Medical Management staff in providing timely and consistent responses to members and providers
- Provide clinical expertise and business direction through participation in clinical team activities
- Act as a business and clinical liaison to network providers and facilities
- Travel for team meetings and client-facing meetings 1–2 times per quarter
- Participate in weekend, holiday and on-call rotation
Requirements
What you’ll need- M.D. or D.O. with a current, active, U.S. state medical license that is in good standing
- Board certified in Radiation Oncology, recognized by the American Board of Medical Specialties or American Osteopathic Association
- Eligible to acquire additional state licensure as required
- 3+ years of relevant radiation oncology experience in a patient care or managed care setting post residency
- Ability to travel 1–2 times per quarter for team or client-facing meetings
- Previous UM experience with a Health Plan / Payor preferred
- Previous UM experience as a Physician Advisor in a Health / Hospital system preferred
- Participate in a weekend, holiday and on-call rotation
Benefits
Comp & perks- CVS Health bonus, commission or short-term incentive program
- Award target in the company’s equity award program
- Medical coverage
- Dental coverage
- Vision coverage
- Paid time off
- Retirement savings options
- Wellness programs
- Other resources supporting physical, emotional, and financial well-being