Senior Medical Director – Medicaid

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Logo of CVS Health

CVS Health

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Provides leadership of medical management activities in Aetna’s Northeast region (Maryland, New Jersey, New York, Pennsylvania, and Virginia) • Lead a team of Medical Directors • Collaborate with health plan chief medical officers • Implement medical management programs/policies • Direct the utilization review process and oversee the quality of utilization determinations

🎯 Requirements

• Five (5) or more years of experience in clinical practice • Five (5) or more years administrative experience in the health care industry or managed care • M.D. or D.O., Active Board Certification in an ABMS or AOA recognized specialty, including post-graduate direct patient care experience • Current and Active State Medical License without encumbrances

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families

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