Medical Director (Aetna One Advocate)

CVS Health; Phoenix (AZ); Remote; USD 174,000 - 375,000; Full time

Job summary

An established industry player is seeking a Medical Director to lead innovative health solutions. This remote role offers the chance to make a significant impact on patient care through personalized communication and collaboration with healthcare providers. You'll be at the forefront of enhancing member experiences and driving quality improvements in health management. With a competitive salary and a supportive work environment, this position is perfect for a dedicated professional looking to elevate their career while contributing to a meaningful cause.

Benefits

401(k) plan with matching contributions

Employee stock purchase plan

Wellness screenings

Confidential counseling

Tuition assistance

Flexible work schedules

Qualifications

• 5+ years in Health Care Delivery System and Clinical Practice.
• Active state medical license required.

Responsibilities

• Assess member needs and collaborate with providers for care.
• Lead clinical staff in quality care coordination.

Skills

Health Care Delivery System

Clinical Practice

Data Analysis

Education

M.D. or D.O.

Board Certification

Job description

Join to apply for the Medical Director (Aetna One Advocate) role at CVS Health

2 days ago Be among the first 25 applicants

Join to apply for the Medical Director (Aetna One Advocate) role at CVS Health

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 https://jobs.cvshealth.com/us/en/benefits

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.

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at CVS Health by 2x

Sign in to set job alerts for “Medical Director” roles.

Medical Director - Post-Acute Care Management - Care Transitions - Remote

Medical Director- Remote (Must Reside in AZ)

Inpatient Care Management Medical Director - Remote

Inpatient Care Management Medical Director - Remote

Phoenix, AZ $286,104.00-$397,743.00 7 months ago

Director, Case Management Special Programs

Regional Associate Director, Cell Therapy

Phoenix, AZ $346,000.00-$382,000.00 7 months ago

Neuroimmunology Field Director, Autoantibody - West

National Biotherapies Account Director - Remote

Regional Sales Director, Anesthesia (West Coast)

Therapy Development Manager (West) – Johnson and Johnson, Shockwave Medical

Manager, Medical Economics (Marketplace) - REMOTE

Associate Director, Thought Leader Liaison, Dermatology-Southwest

Remote Telemedicine Job for Veterinarian (Night / Weekend Shifts)

Hospitalist Physician Job with Sound Physicians in Phoenix, AZ

Midwestern University - Student Ambassador

Midwestern University - Student Ambassador

We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.