Medical Director Aetna Duals Center of Excellence
Remote · USFull-time$174–375K/yrPosted 2 days agoStill listed 1 day ago
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At a glance
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Requirements
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Job overview
CVS Health is seeking a Medical Director for Aetna’s Duals Center of Excellence, which supports integrated plans and their physical and behavioral health programs. The director will support Medical Management staff with timely, consistent responses to members and providers. This work-at-home role covers utilization management, appeals, pharmacy reviews, and rounds, with weekday hours and some holiday and weekend coverage.
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: The Aetna Duals Center of Excellence (COE) operates Duals Integrated Plans in Illinois, Michigan, Virginia, Florida, and New Jersey offering a variety of physical and behavioral health programs and services to its membership.
Aetna is looking for a Medical Director to be part of a centralized team that supports the Medical Management staff ensuring timely and consistent responses to members and providers related to precertification, concurrent review, and appeal request. The Medical Director is a work-at-home position located anywhere in the US.
The Medical Director will work a full-time schedule Monday to Friday. The Medical Director can work from any state but will be required to work Eastern Standard Time or Central Standard time 8:00 AM - 5:00 PM. The Medical Director will also be expected to work 1 holiday and 8 weekend days (approximately 1 weekend per quarter) each year.
Fundamental Components:
- Utilization management – The medical director will perform concurrent and prior authorization reviews with peer to peer coverage of denials.
- Appeals – The medical director will perform appeals in their “base plans” and may round robin based on “same or similar specialty” needs.
- Pharmacy coverage – The medical director will perform pharmacy reviews.
- The medical director will participate in and be able to lead rounds.
Required Qualifications: Minimum 3-5 years of clinical practice experience. Two (2) + years of experience in managed care (Medicare and/or Medicaid) Experience with utilization management (preferred Medicare and/or Medicaid) MD or DO; Board certification in an ABMS or AOA recognized specialty is required. Active and current state medical license without encumbrances is required. Multiple state licensure a plus. Florida license or ability to obtain
Preferred Qualifications: Previous Experience in Utilization Management / Claims Determination with another Health Plan / Payor or Hospital System / Health System. Licensed in or willing to obtain license in at least one state where we have an Integrated plan.
Education MD (Doctor of Medicine) or DO (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: 12/07/2026
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 1,812 open Medical Director jobs on Olive Jobs, counted November 6, 2026.
- Pay
- This posting$174–375K/yr
- Connecticut median$208–375K/yr31 salary ranges
- US median$228–373K/yr1,028 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 54 open Medical Director jobs in Connecticut and 1,812 across the US. 8% 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 3 years of experience; Medical Director postings that state a minimum ask for 5 years at the median (999 postings).
- Education
- This posting asks for a doctorate or professional degree; 1,280 of the 1,812 open Medical Director jobs (71%) ask for a doctorate or professional degree.
Counted across the open, public US postings on Olive Jobs on November 6, 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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