Medical Director - Medicaid
December 4
Description
• Medical Director position with Aetna, a CVS Health company. • Responsible for Utilization Management, including prior authorization and concurrent review. • Ensure timely responses to members and providers for precertification and appeals requests. • Support primarily in Louisiana, with occasional support for other regions. • Part of a rotating on-call schedule for weekend coverage.
Requirements
• Five or more years of experience providing direct patient care. • Oklahoma state medical license without encumbrances. • M.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty. • Board certification in Internal Medicine/Pediatrics, Internal Medicine, or Family Medicine. • Prior UM experience at Health Plan / Insurer or as a Physician Advisor is a Plus.
Benefits
• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan available. • Fully-paid term life insurance plan. • Short-term and long-term disability benefits. • Well-being programs and education assistance. • Free development courses. • CVS store discount and discount programs. • Paid Time Off (PTO) and paid holidays. • Sick time and time off provided according to state laws.
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