Medical Director Aetna Duals Center of Excellence

Clinical Careers Page(22 days ago)

RemoteFull TimeSenior$174,070 - $374,920Medical Management

About this role

Join CVS Health® as a Medical Director supporting the Aetna Duals Center of Excellence team. The role involves overseeing clinical review processes related to preauthorization, utilization management, and appeals within a managed care setting. This fully remote position offers a full-time schedule and opportunities to contribute to the coordination of health programs for Medicare and Medicaid members.

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Required Skills

Utilization Management
Medical Review
Pharmacy Reviews
Clinical Practice
Managed Care
Medicare
Medicaid
Appeals Management
Authorization
Managed Care

Qualifications

MD or DO
State Medical License
Board Certification in ABMS or AOA Recognized Specialty

About Clinical Careers Page

cvshealth.com

CVS Health is America's leading health solutions company, providing integrated services across retail pharmacy (CVS Pharmacy), pharmacy benefits management (CVS Caremark), and health insurance (Aetna). The company offers pharmacy services, health plans, clinical care (including MinuteClinic), and health-and-wellness programs for consumers, employers, and government payers. By combining a large national retail footprint with claims processing, care management, and clinical services, CVS Health aims to coordinate care, lower costs, and improve health outcomes. Businesses and consumers use its solutions for medication management, plan administration, and in-person and virtual care.

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