[Hiring] Medical Director @CVS Health

Role Description

Aetna One Advocate (A1A) is a high-touch, population health medical management team built around collaboration, advocacy, and case-by-case resolution for our members. We're a tight-knit team of clinicians who use a multidisciplinary model to guide members toward their best possible health care outcomes. We pride ourselves on being innovative and nimble, adapting our approach to what each member actually needs rather than applying one-size-fits-all solutions.

As a Medical Director on this team of 8 physicians, you'll help shape how that model is executed clinically and operationally, while being part of a close collaborative culture. You'll provide clinical oversight for medical policy implementation and lead utilization management activities, including:

• Predetermination reviews
• Utilization management determinations
• Case management

This role also blends clinical leadership with external engagement: you'll spend roughly 15% of your time presenting to and meeting with our plan sponsors.

Qualifications

• Active, unrestricted MD required
• Board certification/eligibility in Neurosurgery, Orthopedic Surgery, General Surgery, or Physical Medicine & Rehabilitation (PM&R) strongly preferred
• No prior utilization management or managed care experience required — full training provided
• Comfort and experience presenting to external audiences — strong public speaking and stakeholder communication skills
• Collaborative mindset and comfort working in a close, fast-moving clinical team

Requirements

• M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience

Benefits

• Comprehensive medical, dental, and vision coverage
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility

Pay Range

The typical pay range for this role is: $174,070.00 - $374,920.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography, and other relevant factors. This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.