Medical Director - Aetna Duals Center of Excellence
December 4
Description
• The Aetna Duals Center of Excellence operates Duals Integrated Plans in several states • Medical director supporting Medical Management staff ensuring timely responses • Perform concurrent reviews, appeals, and pharmacy reviews • Participate in and lead daily rounds
Requirements
• Minimum 3-5 years of clinical practice experience • 2+ years of experience in managed care (Medicare and/or Medicaid) • Experience with managed care utilization review preferred • MD or DO; Board certification in an ABMS or AOA recognized specialty required • Active and current state medical license without encumbrances required • Multiple state licensure a plus
Benefits
• A full range of medical, dental, and vision benefits • 401(k) retirement savings plan • Employee Stock Purchase Plan • Fully-paid term life insurance plan • Short-term and long-term disability benefits • Well-being programs • Education assistance and development courses • CVS store discount • Vacation pay and paid holidays
Apply NowSimilar Jobs
December 2
Remote Medical Director role at eviCore focusing on orthopedic spine surgery. Leverage clinical expertise for evidence-based medical case reviews.
November 28
Join Arvinas as a Medical Director to lead medical affairs for our neurology pipeline assets.
🇺🇸 United States – Remote
💰 $55M Series C on 2018-04
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
November 27
As a Medical Director, review inpatient charts ensuring accurate coding and compliance with guidelines.
November 27
As an Assistant Medical Director at Premera, provide coverage determinations based on medical necessity. Support clinical programs and decision-making for health plan members.
🇺🇸 United States – Remote
💵 $203.7k - $366.7k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor
November 27
Drive the development of patient care programs in a telemedicine setting for chronic conditions. Join Wheel to innovate healthcare delivery through virtual care.
🇺🇸 United States – Remote
💵 $202k - $288k / year
💰 $150M Series C on 2022-01
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
🦅 H1B Visa Sponsor