Description
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Requirements: * Board certified Internist or Geriatrician * Actively licensed physician in Kansas without encumbrances * Has at least five (5) years clinical experience with Geriatrics and LTSS population. * The LTSS Medical Director must live in the state of Kansas or be willing to relocate to Kansas and obtain a Kansas medical license. The LTSS Director will be required to spend a majority of time in the office with potential for some remote work as needed. This will be primarily an Office Based position as the LTSS Director is considered "Essential Staff" per the State of Kansas contractual obligations to KanCare membership. Roles and Responsibilities: * This physician directs healthcare services for individuals of any age with physical, intellectual, and/or developmental disabilities. * The LTSS MD oversees and is responsible for all primary physical and behavioral health services provided to individuals receiving LTSS, and to comparable populations enrolled in KanCare, as well as all clinical activities pertaining to the operation of LTSS programs and services, including preventive care and the management and coordination of primary and other physical health services for these members * Shall work closely with the LTSS support directors and other medical officers (BH) to ensure the delivery of holistic and integrated person-centered care. * Participate in QM/UM monthly meetings * Be responsible for maintaining compliance with policies and procedures and implement them at the employee level. * Support duties as required regarding utilization management of the service benefit and pharmacy benefit within the state health plan and additional duties as assigned. (Perform daily review of individual cases from concurrent review and prior authorization processes, including denial decisions for cases that do not meet established evidence-based criteria. Conduct daily hospital admission and complex discharge rounds. Direct LTSS population activities, including evaluating the need for these services and ensuring collaboration among providers. Conduct peer to peer discussions) * Actively participate in continuous improvement activities, development and monitoring of cost saving initiatives, and other activities that support quality of care and total cost of care oversight. * Serve as a key health plan external facing liaison, regarding programs, and projects with state regulators, providers, vendors, and community organizations. * Provides guidance and/or represents the Health Plan in state fair hearings for services that are LTSS related. Education: * MD or DO * Board Certified in Internal Medicine or Geriatrics *Pay Range* The typical pay range for this role is: $174,070.00 - $374,900.00 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. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit [jobs.CVSHealth.com/benefits](https://jobs.cvshealth.com/benefits) We anticipate the application window for this opening will close on: 05/31/2024CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work. CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through [ColleagueRelations@CVSHealth.com](mailto:ColleagueRelations@CVSHealth.com) If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
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