Senior Medical Director – Medicaid

CVS Health

Senior Medical Director overseeing Medicaid for Aetna in the Northeast. Leading medical management activities and collaborating with health plan leaders across multiple states.

Posted 6/16/2026full-timeRemote • Connecticut, Oklahoma, Texas, Virginia, West Virginia • 🇺🇸 United StatesSenior💰 $184,112 - $396,550 per yearWebsite

About the role

Key responsibilities & impact

Provides leadership of medical management activities in Aetna’s Northeast region (Maryland, New Jersey, New York, Pennsylvania, and Virginia)
Lead a team of Medical Directors
Collaborate with health plan chief medical officers
Implement medical management programs/policies
Direct the utilization review process and oversee the quality of utilization determinations

Requirements

What you’ll need

Five (5) or more years of experience in clinical practice
Five (5) or more years administrative experience in the health care industry or managed care
M.D. or D.O., Active Board Certification in an ABMS or AOA recognized specialty, including post-graduate direct patient care experience
Current and Active State Medical License without encumbrances

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

clinical practiceutilization reviewmedical management programsquality oversight

Soft Skills

leadershipcollaboration

Certifications

M.D.D.O.Active Board CertificationState Medical License