[Remote] Medical Director Aetna Duals Center of Excellence at CVS Health

The typical pay range for this role is $174,070.00 - $374,920.00, and the actual base salary will depend on factors like experience, education, geography, and other relevant factors.

This is a work-at-home position located anywhere in the US, with required hours in Eastern or Central Standard time 8-5, and occasional weekend/holiday call coverage from your laptop.

Candidates need minimum 3-5 years of clinical practice experience, two or more years in managed care (Medicare and/or Medicaid), an MD or DO degree with board certification in an ABMS or AOA recognized specialty, and an active, current state medical license without encumbrances.

This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range.

Strong candidates have previous experience in Utilization Management or Claims Determination with a health plan, payor, or health system, licensure in states with Integrated plans, and experience with Medicare and Medicaid utilization review.