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Medical Director (aetna One Advocate) - Remote Eligible

Lead the clinical staff to enhance member care quality through innovative solutions.
Remote
Senior
$174,070 - 374,920 USD / year
3 weeks ago
CVS Health

CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.

✨ About The Role

- The Medical Director will work remotely, collaborating with the Aetna One Advocate team to assess and address members' healthcare needs. - Daily responsibilities include leading clinical staff, conducting educational rounds, and providing clinical guidance in medical management and utilization review programs. - The role involves proactive engagement with providers and facilities to improve the quality of care delivered to members. - The Medical Director will participate in various clinical team activities, including precertification, concurrent review, discharge planning, and disease management. - The position requires collaboration with multiple functional areas to achieve business goals and enhance member care experiences.

âš¡ Requirements

- The ideal candidate will have at least five years of experience in the healthcare delivery system, demonstrating a strong understanding of clinical practice and the healthcare industry. - A current and active state medical license is essential, ensuring the candidate can provide clinical expertise without any encumbrances. - Candidates should possess an M.D. or D.O. degree, with board certification in an ABMS recognized specialty and relevant post-graduate direct patient care experience. - Strong leadership skills are necessary to effectively lead clinical staff and coordinate quality care for members. - The successful candidate will be adept at using data analysis to identify opportunities for quality improvement and engage providers in enhancing care quality.
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Medical Director (aetna One Advocate) - Remote Eligible
Remote
$174,070 - 374,920 USD / year
Healthcare Administration
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.