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Position Summary:
Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this opportunity with Aetna, a CVS Health company!
Aetna operates Medicaid managed care plans in sixteen states: Arizona, California, Florida, Illinois, Kansas, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Pennsylvania, Texas, Virginia and West Virginia adding Oklahoma. This role supports the Aetna Better Health of New Jersey.
This Medical Director will be a Work from Home position primarily supporting the Aetna New Jersey plan; but part of a centralized team that supports the Medical Management staff.
The Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.
Required Qualifications:
- Five 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., Current and Active Board Certification in ABMS or AOA recognized specialty; including post-graduate direct patient care experience
- Internal Medicine, Family Medicine, Emergency Medicine Specialty Preferred.
- Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus +
Preferred Qualifications:
-Health plan/payor Utilization Management / Review experience.
-Electronic medical systems/record experience.
-Managed Care experience.
-Medicaid experience.
Education:
-M.D. or D.O., Board Certification in ABMS or AOA recognized specialty including post-graduate direct patient care experience.
Pay Range
The typical pay range for this role is:
$174,070.00 - $374,900.00
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.
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. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
Great News! We've discovered an exciting live job opportunity for a Medical Director - Medicaid (NJ) position in United States. This job is currently open for hiring/recruiting by CVS Health, exclusively for you at American Jobs. Feel free to download the job details here.
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Yes, we found live job(s) for CVS Health in United States.
Medical Director - Medicaid (NJ) jobs are available in United States.
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The average salary range for Medical Director - Medicaid (NJ) in United States varies, but the standard pay scale is rated "Standard" in United States. Salary levels may vary depending on your industry, experience, and skills. It's essential to research and negotiate effectively.
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Benefits for Medical Director - Medicaid (NJ) positions may include a list of benefits. These can vary from company to company, so it's important to review the specific job listing for details on benefits offered by the employer.
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