Remote Medical Director, Health Plan & Medical Policy

CVS Health is seeking a Medical Director to oversee medical policy implementation and lead the development and evaluation of clinical programs. This remote role, preferably Florida-based, supports Aetna’s medical management initiatives across the continuum of care and ensures timely responses to members and providers. You will oversee utilization review, predeterminations, and claim determinations, while directing case management and serving as a clinical liaison to network providers. #J-18808-Ljbffr CVS Health