Medical Director - Medicaid (Oklahoma)

Clinical Careers Page(2 months ago)

RemoteFull TimeDirector$174,070 - $374,920Utilization Management

About this role

A UM Medical Director at Aetna (a CVS Health company) provides physician leadership for the Aetna Better Health Medicaid plan of Oklahoma as part of a regional clinical team. The role is primarily work-from-home and is embedded in a centralized Utilization Management organization supporting multiple states within the company.

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Required Skills

Utilization Management
Prior Authorization
Concurrent Review
Appeals Management
Managed Care
Medicaid
Clinical Leadership
Patient Care
Medical Licensing
Board Certification

Qualifications

M.D. or D.O.
Active Oklahoma Medical License
Board Certification (ABMS or AOA)
Board Certification in Family Medicine
Board Certification in General Surgery
Board Certification in Internal Medicine-Pediatrics

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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