Remote Medical Director — Health Plan Clinical Oversight

CVS Health Corporation, through Aetna, seeks a Medical Director to provide oversight for medical policy implementation and to drive the development, implementation, and evaluation of clinical programs across the care continuum. You will support Medical Management staff in delivering timely responses to members and providers and oversee utilization review and predetermination reviews. The role focuses on Prior Authorization, Pre Certification, and related processes, acting as a clinical lead and #J-18808-Ljbffr CVS Health Corporation