Medical Director- Medicaid (Remote Based)

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!

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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 Oklahoma.

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This UM (Utilization Management) Medical Director will be a "Work from Home" position primarily supporting the Aetna Oklahoma Medicaid plan and the UM team; but part of a centralized team that supports Illinois, Michigan and Oklahoma. Support for other regions may occasionally be required.

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The UM Medical Director will ensure timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request.

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This position is primarily responsible for Utilization Management, including prior authorization as well as concurrent review. Cases could focus on inpatient or outpatient services, acute and post acute services, pharmacy, appeals and state fair hearings. You will be part of a rotating on call schedule for providing weekend and holiday coverage.

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Required Qualifications:

• Five or more years of experience providing direct patient care.

• Oklahoma state medical license without encumbrances

• M.D. or D.O., Current and Active Board Certification in ABMS or AOA recognized specialty; including post-graduate direct patient care experience

• Board certification in Family Medicine, General Surgery or Internal Medicine / Pediatrics

• Prior UM experience working at Health Plan / Insurer or experience as a Physician Advisor or working for an Independent Review Organization a Plus +

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Preferred Qualifications:

-Preferred Oklahoma residency

-Health plan/payor Utilization Management / Review experience. -Managed Care experience.

-Medicaid experience.