Medical Director - New England Region
Remote · USFull-time$174–375K/yrPosted 1 day agoStill listed today
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At a glance
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Requirements
Credentials this posting asks for.
Job overview
CVS Health’s Medical Director will oversee utilization review and quality evaluation for inpatient hospitalizations, prior authorizations, and appeals across the New England Region. The role also involves developing and evaluating clinical programs, supporting Medical Management staff, and participating in peer-to-peer calls and committees. The position is remote and requires an active, unencumbered medical license in a New England state, or the ability to obtain one within a reasonable timeframe.
Skills & qualifications
Skills
Qualifications
Benefits
Full job description
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
Position Summary:
Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources.
This is a remote based (work from home) position for the New England Region. The preferred candidate will reside in Connecticut, Rhode Island, Massachusetts, Vermont, New Hampshire, or Maine. Even if the candidate does not reside in New England, the candidate should have the ability to learn about the New England market – hospitals, outpatient networks, and value-based care relationships.
The Medical Director will be responsible for overseeing the utilization review for health systems in the New England Region. An ideal candidate would have experience performing in-hospital utilization reviews and other quality activities. The Medical Director will be required to have a New England state medical license without encumbrances or the ability to obtain the license within a reasonable timeframe.
Collaboration and teamwork are the defining characteristics of The New England Medical Director team; in order to be a successful member of the team the candidate must exemplify these qualities.
- As a Medical Director you will focus primarily on overseeing utilization review and quality evaluation of inpatient hospitalizations, prior authorizations, and appeals.
- You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of care.
- You will support the Medical Management staff ensuring timely and consistent responses to members and providers. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed.
Required Qualifications:
*Two (2) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. *Active and current medical license without encumbrances. *M.D. or D.O., Active and Current Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient care experience. *Experience with technology such as Microsoft Outlook and Teams.
Preferred Qualifications:
Residence in one of the states in the New England Region Previous UM experience with a Health Plan / Payor. Previous UM experience as a Physician Advisor in a Health / Hospital system. Board Certification in Internal Medicine, Family Medicine, or Emergency Medicine Preferred.
Education:
Medical Doctor or Doctor of Osteopathic Medicine
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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 11/26/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
How this job compares
Set against the 1,778 open Medical Director jobs on Olive Jobs, counted November 12, 2026.
- Pay
- This posting$174–375K/yr
- Connecticut median$208–375K/yr30 salary ranges
- US median$228–355K/yr1,017 salary ranges
This range's midpoint, $274K, is close to the Connecticut median midpoint ($277K) — in the middle half of Medical Director salary ranges in Connecticut.
- Openings
- Olive Jobs lists 52 open Medical Director jobs in Connecticut and 1,778 across the US. 11% of them nationwide are listed as remote or flexible.
- Hiring the most in Connecticut
- Hartford HealthCare13 open
- The Cigna Group10 open
- CVS Health (this employer)9 open
- Experience
- This posting asks for at least 2 years of experience — less than three in four Medical Director postings that state a minimum ask for (median 5 years, across 972 postings).
- Education
- This posting asks for a doctorate or professional degree; 1,258 of the 1,778 open Medical Director jobs (71%) ask for a doctorate or professional degree.
Counted across the open, public US postings on Olive Jobs on November 12, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.
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