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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

clinical expertisemedical managementprogram developmentprogram implementationprogram evaluationpatient carebusiness directionclinical team activitieshealth care delivery system

Soft Skills

communicationleadershipinterpersonal skillsorganizational skillscollaboration

Certifications & Qualifications

M.D.D.O.Board Certification

Industry Keywords

clinical practicehealth care industrymedical services programscontinuum of carenetwork providersfacilities

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