Medical Director (Aetna One Advocate) Job at CVS Health, Phoenix, AZ

ZVdFakI1eHYwUGlIOFhaTG5Ca0p3T3Zy
  • CVS Health
  • Phoenix, AZ

Job Description

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. **Position Summary** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Check out this opportunity with Aetna, a CVS Health company! This is a remote based work from home role. The Aetna One Advocate model provides the member with a powerful and proactive experience through high touch, personalized communications designed to help the member achieve their health ambition. Some key daily activities: - Partner with other Advocate team members to holistically assess member's needs - Collaborate with treating providers through personalized, creative solutions to help member's meet their health care needs. - Lead the clinical staff in the coordination of quality care on behalf of members - Conduct educational and clinical rounds with A1A clinical staff - Provide clinical expertise and business direction in support of medical management and utilization review programs through participation in clinical team activities including precertification, concurrent review/discharge planning, case management, disease management and quality management - Provide clinical guidance in promoting member quality of care and reviewing/addressing potential lapses - Act to engage providers and facilities in improving the quality of care delivered to our members and assure that our shared relationships are maintained and improved - Proactively use data analysis and periodic assessments to identify opportunities for quality improvement - Work collaboratively with other functional areas that interface with medical management including provider relations, sales, benefits, healthcare delivery, national medical services and national accounts to achieve the business goals **Required Qualifications** *Five (5) 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. **Preferred Qualifications** *Health Plan experience **Education** *M.D. or D.O., Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience **Pay Range** The typical pay range for this role is: $174,070.00 - $374,920.00 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. **Great benefits for great people** We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** . + **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. + **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will close on: 07/30/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Job Tags

Hourly pay, Full time, Temporary work, Local area, Remote job, Work from home, Flexible hours,

Similar Jobs

SIMEDHealth

PRN Medical Assistant Job at SIMEDHealth

 ...Join Our Patient-Focused Team as a PRN Medical Assistant in Ocala and Lady Lake/The Villages! Multiple shifts are available and are flexible based on your schedule. Employees should be able to commit to 8-16 hours per week. SIMEDHealth is looking for compassionate... 

Milton Hershey School

Maintenance Technician I - Facilities Job at Milton Hershey School

 ...Job Description Back to all Careers JOB ID: 25000070 Hershey, PA Full-time Job Category: Construction/Facilities/Campus Maintenance Founded in 1909 by Milton and Catherine Hershey, Milton Hershey School (MHS) is a tuition-free private home and school... 

All the top bananas US

Project Manager - Landscape Architect Job at All the top bananas US

35% - Project Management or Landscape Architecture Support for Design Development, Construction, Project Closeout and As-built Documents...  ...estimator in the preparation of a ROM estimate. As landscape architect, take a lead role or assist in preparation of programs for... 

Medical City Plano

Lactation Consultant Registered Nurse Job at Medical City Plano

 ...Description Introduction Do you have the career opportunities as a Lactation Consultant Registered Nurse you want in your current role? We invest in what matters most to nurses like you at home, at work, and at every stage in your career. We have an exciting... 

Sanford Health

Physician - Obstetrics/Gynecology Job at Sanford Health

 ...Certified Nurse Midwives, as well as Psychology. Supportive specialties include: one Gyn/Onc physician, three MFM physicians, two REI physicians and one Uro Gyn physician Laborist Model with 24-hour in-house coverage of all partners patients Rotate 1:14...