[Remote] Medical Director - Kentucky Medicaid at CVS Health

The typical pay range for this role is $174,070.00 - $374,920.00, and the position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base salary.

Yes, this is a 'Work from Home' position primarily supporting the Aetna Kentucky plan, as part of a centralized team.

Required qualifications include five or more years of experience in Health Care Delivery System, an active and current Kentucky state medical license (with ability to obtain licenses in Florida, Louisiana, and West Virginia), M.D. or D.O. with current board certification in an ABMS or AOA specialty, and post-graduate direct patient care experience. Family Medicine, Emergency Medicine, or Internal Medicine-Pediatrics specialty is preferred.

Preferred qualifications include health plan/payor Utilization Management/Review experience, electronic medical systems/record experience, managed care experience, and Medicaid experience. Prior UM experience at a health plan/insurer, as a Physician Advisor, or with an Independent Review Organization is also a plus.

Strong candidates will have the required medical license, board certification, and clinical experience, plus preferred utilization management, managed care, Medicaid, and electronic medical records experience.