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CVS Health Executive Director Regional Medicine in WORK FROM HOME, New York

Job Description

Aetna, a CVS Health Company has an outstanding opportunity for a Executive Medical DirectorThis is a work from home remote based role.In this role as a Executive Medical Director you will lead the clinical aspects of clinical program development and medical risk analysis.Fundamental Components:The Executive Medical Director serves as clinical lead/Deputy CMO on initiatives to ensure accurate documentation and compliance with respect to the medical directors initiatives. You will work across the Aetna and CVS enterprise in a highly collaborative partnership with multiple business units to drive better clinical outcomes and manage Aetna's risk analysis activities. You will be responsible for identifying opportunities, driving execution and monitoring performance to achieve desired outcomes. Specific areas of work include:* Developing and implementing approaches to leverage clinical information to improve health care quality and outcomes. * Participating/lead in audits initiated by external bodies related to the medical director documentation. * Participate/lead in external meetings in support of Customer Success: critical meetings for procurement/retention of membership and advancement of key strategic client relationships.* Responding to information requests from Medicare/Commercial market business and clinical leaders pertaining to the aforementioned bodies of work * * Providing clinical expertise and business direction in support of creating or enhancing additional medical management programs as requested

Required Qualifications

  • 3 or more years leadership specifically MDA CPPO or related experience.* 3 or more years experience in clinical practice* 3 or more years leadership experience in managed care.* M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience.* Active and current state medical license without encumbrances.

COVID Requirements

COVID-19 Vaccination Requirement

CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.

  • If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 30 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 60 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.

  • If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 30 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.

Preferred Qualifications

  • Demonstrated leadership experience in clinical operations, medical management and utilization management.

Education

  • M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience.

Business Overview

At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.

We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.

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