Medical Director - Medicaid (IL) - CVS : Job Details

Medical Director - Medicaid (IL)

CVS

Job Location : Springfield,IL, USA

Posted on : 2025-08-11T11:29:37Z

Job Description :
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 multiple states: Arizona, California, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia and West Virginia. This is a regional role that primarily supports the Aetna Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a Work from Home position primarily supporting the Aetna Illinois Medicaid plan and the UM team; but part of a centralized team that supports Illinois, Michigan, Kansas and Oklahoma. Support for other regions may occasionally be required. The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request. This position is primarily responsible for Utilization Management, inclu...Medical Director, Director, Medical, Patient Care, Patient Services, Retail, Healthcare
Apply Now!

Similar Jobs ( 0)