• Medical Director - Kentucky

    CVS Health (Frankfort, KY)
    …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? Checkout ... and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from...Practice and Health Care Industry. - Active and current Kentucky state medical license without encumbrances as… more
    CVS Health (11/19/25)
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  • Medical Director - Medicaid

    CVS Health (Springfield, IL)
    …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? Checkout ... opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, California,...Better Health Plan of Illinois. This UM (Utilization Management) Medical Director will be a "Work from… more
    CVS Health (11/09/25)
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  • Medical Director - Medicaid

    CVS Health (Trenton, NJ)
    …supporting the Aetna Northeast Medicaid plan and the UM team. The UM Medical Director will ensure timely and consistent responses to members and providers ... and every day. **Position Summary:** Ready to take your Medical Director skills to the next level...opportunity with Aetna, a CVS Health company! Aetna operates Medicaid Managed Care Plans in multiple states: Arizona, Florida,… more
    CVS Health (11/07/25)
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  • Utilization Management Nurse - LPN/LVN

    Integra Partners (Troy, MI)
    …appeals for DMEPOS. This individual will play a key role in collaborating with our Medical Director to perform benefit and medical necessity reviews and ... medical necessity criteria + Refer cases to the Medical Director that do not meet ...managed care, payor environment + Experience with Medicare and Medicaid (not required, but highly desirable) + Experience with… more
    Integra Partners (11/21/25)
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