Medical Director - FEHBP
Clinical Careers Page(1 month ago)
About this role
A Medical Director at Aetna (a CVS Health company) provides clinical leadership for medical policy implementation supporting the Federal Employee Health Benefits Program (FEHBP). This remote physician role requires an MD/DO with board certification and an active state medical license and supports medical management programs while maintaining clinical expertise.
Required Skills
- Medical Policy
- Clinical Oversight
- Utilization Review
- Case Management
- Quality Assurance
- Precertification
- Appeals Review
- Provider Liaison
- Coding Knowledge
- EMR
Qualifications
- M.D. or D.O.
- Active State Medical License
- Board Certification
About Clinical Careers Page
cvshealth.comCVS 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.
View more jobs at Clinical Careers Page →Apply instantly with AI
Let ApplyBlast auto-apply to jobs like this for you. Save hours on applications and land your dream job faster.
More jobs at Clinical Careers Page
Similar Jobs
Medical Director - Commercial
Elevance Health(1 month ago)
Medical Director Associate- Psychiatrist- Pennsylvania Medicaid
Elevance Health(26 days ago)
Medical Director
Health Care Service(1 month ago)
Medical Management Clinician Sr.
Elevance Health(1 month ago)
Physician Advisor, Utilization Management (CA License Required)
Alignment Health(1 month ago)
Physician Advisor - Sentara Princess Anne
Sentara(8 months ago)