Medical Director – Commercial
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Job Description
Medical Director at CVS Health overseeing and expanding Aetna's medical management programs. Ensuring clinical quality and effective healthcare resource use across member needs.
Responsibilities:
- participate in the development, implementation, and evaluation of clinical / medical programs
- expand Aetna's medical management programs to address member needs across the continuum of care
- support the Medical Management staff ensuring timely and consistent responses to members and providers
- provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities
- act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams
Requirements:
- 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry
- Active and current state medical license without encumbrances
- M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience.
Benefits:
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- other resources, based on eligibility
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