[Remote] Medical Director - Kentucky Medicaid at CVS Health

Candidates must possess an active and current Kentucky state medical license without encumbrances and be able to obtain licenses for Florida, Louisiana, and West Virginia. An M.D. or D.O. with current and active board certification in an ABMS or AOA recognized specialty is required, along with post-graduate direct patient care experience. Preferred specialties include Family Medicine, Emergency Medicine, or Internal Medicine-Pediatrics. A minimum of five years of experience in a Health Care Delivery System, such as clinical practice or the health care industry, is necessary. Prior Utilization Management (UM) experience within a health plan/insurer, or experience as a Physician Advisor or with an Independent Review Organization is a plus. Preferred qualifications include health plan/payor UM/Review experience, electronic medical systems/record experience, managed care experience, and Medicaid experience.