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Aetna, a CVS Health Company, is seeking a highly skilled Medical Director (Cardiology) to join our team. This is a remote-based opportunity that allows you to work from home and make a meaningful impact on our company's mission.
Key Responsibilities- Lead all aspects of utilization review/quality assurance, directing case management and providing clinical expertise and business direction in support of medical management programs.
- 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.
- Predetermination reviews and reviews of claim determinations, providing clinical, coding, and reimbursement expertise.
- 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 Cardiology specialty including post-graduate direct patient care experience specifically.
- Previous healthcare insurance experience.
The typical pay range for this role is $174,900.00. 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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.
