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CVS Health

Medical Director – Commercial

CVS Health

Medical Director at CVS Health overseeing and expanding Aetna's medical management programs. Ensuring clinical quality and effective healthcare resource use across member needs.

Posted 6/21/2026full-timeRemote • Minnesota, Texas, Vermont • 🇺🇸 United StatesLead💰 $174,070 - $374,920 per yearWebsite

About the role

Key responsibilities & impact
  • participate in the development, implementation, and evaluation of clinical / medical programs
  • expand Aetna's medical management programs to address member needs across the continuum of care
  • support the Medical Management staff ensuring timely and consistent responses to members and providers
  • provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities
  • act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams

Requirements

What you’ll need
  • 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry
  • Active and current state medical license without encumbrances
  • M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience.

Benefits

Comp & perks
  • medical, dental, and vision coverage
  • paid time off
  • retirement savings options
  • wellness programs
  • other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools
clinical expertisemedical managementprogram developmentprogram implementationprogram evaluationpatient carebusiness directionclinical team activitieshealth care delivery system
Soft Skills
communicationleadershipinterpersonal skillsorganizational skillscollaboration
Certifications
M.D.D.O.Board Certification