Medical Director - Medicaid (IL) - Remote

Overview

As a Medical Director at CVS Health, you will lead Utilization Management for the Aetna Better Health Plan of Illinois, providing oversight and ensuring quality care for Medicaid members.

In Short

• Position supports Aetna Medicaid Managed Care Plans in Illinois.
• Role is primarily work from home with occasional regional support.
• Responsible for prior authorization and concurrent review processes.
• Engage in a rotating on-call schedule for weekend and holiday coverage.
• Requires active Illinois medical license and board certification.
• Five or more years of direct patient care experience required.
• Experience in Utilization Management is preferred.
• Comprehensive benefits and competitive salary offered.
• Commitment to fostering a diverse and inclusive workplace.
• Application window closes on 05/30/2025.

Requirements

• M.D. or D.O. with active board certification.
• Illinois state medical license without encumbrances.
• Prior experience in a health plan or as a Physician Advisor.
• Preferred residency in Illinois.
• Experience with Medicaid and Managed Care.
• Five or more years of direct patient care experience.
• Strong leadership and communication skills.
• Ability to work collaboratively in a team environment.
• Commitment to quality patient care and compliance.
• Willingness to participate in on-call duties.

Benefits

• Affordable medical plan options.
• 401(k) plan with company matching contributions.
• Employee stock purchase plan.
• Wellness programs and confidential counseling.
• Flexible work schedules and paid time off.
• Tuition assistance and family leave options.
• Comprehensive benefits for physical, emotional, and financial wellness.
• Employee recognition programs and commitment to sustainability.
• Access to retiree medical benefits.
• Opportunities for professional development and growth.