Medical Director - Remote

Overview

The Medical Director at CVS Health is responsible for overseeing medical policy implementation and expanding Aetna's medical management programs to meet member needs. This remote role requires a Florida medical license and focuses on utilization review and quality assurance.

In Short

• Remote position based in Florida.
• Provides oversight for medical policy implementation.
• Participates in the development and evaluation of clinical programs.
• Supports medical management staff with timely responses.
• Oversees utilization review and quality assurance activities.
• Responsible for predetermination reviews and peer-to-peer calls.
• Acts as liaison to network providers and facilities.
• Requires active Florida medical license.
• MD or DO with board certification required.
• Offers competitive salary and benefits package.

Requirements

• Active and current state medical license in Florida.
• MD or DO, Board Certification in a recognized specialty.
• Post-graduate direct patient care experience.
• Preferred: Previous UM experience with a Health Plan.
• Preferred: Board Certification in Internal Medicine or related fields.

Benefits

• Affordable medical plan options.
• 401(k) plan with matching contributions.
• Employee stock purchase plan.
• No-cost wellness programs.
• Flexible work schedules and paid time off.
• Tuition assistance and dependent care resources.