Skip to main content

A new day in healthcare. Together, CVS Health and Aetna help people on their path to better health.

Joint Venture, Care Management Medical Director - 59663BR

Primary Location: Phoenix, Arizona
Additional Locations: AZ-Phoenix
Provide leadership of medical management activities. Develop and implement medical management programs/policies.


Fundamental Components:

develops, directs and implements clinical and non-clinical activities that
impact health care quality, cost and outcomes. Direct the utilization review
process and oversee the quality of utilization determinations. Ensure compliance
with clinical goals through monitoring care management performance.

clinical staff in the coordination of quality care. Provides
clinical expertise and business direction in support of medical management
programs through participation in clinical team activities

Acts as
lead business and clinical liaison to network providers and facilities to
support the effective execution of medical
services programs by the clinical teams

Expands medical
management programs to address member needs across the continuum of care

triage and referral for Care Management Center

Background Experience:
  • Managed care experience, as provider and manager of care.
  • 3+ years experience (preferably 5+ years) involving substantial direct patient care at multiple levels of care.
  • MD from accredited (ACME) American or Canadian medical school or equivalent training in a foreign medical school with successful completion of ECFMG and FLEX exams.
  • Board certification
  • License or licensure eligibility in state of operation (licensure must be complete within 1st year of employment).
  • Full training in a ACGME approved U.S. or Canadian residency program.
  • Current active license without encumbrances to practice medicine in the U.S..

Functional Skills:
Clinical / Medical - Direct patient care (hospital, private practice)

Technology Experience:
Desktop Tool - TE Microsoft Excel

Medical - Board Of Medical Examiners

Potential Telework Position:

Percent of Travel Required:
10 - 25%

EEO Statement:
Aetna is an Equal Opportunity, Affirmative Action Employer

Benefit Eligibility:
Benefit eligibility may vary by position. Click here to review the benefits associated with this position.

Candidate Privacy Information:
Aetna takes our candidate's data privacy seriously. At no time will any Aetna recruiter or employee request any financial or personal information (Social Security Number, Credit card information for direct deposit, etc.) from you via e-mail. Any requests

Click To Review Our Benefits (PDF)


Jobs for you

Recently Viewed Jobs

You do not have any recently viewed jobs

Your Saved Jobs

You do not have any saved jobs

Sign up for Job Alerts

Join our Talent Community

At Aetna, we are pioneering a total approach to health and wellness and we need talented candidates like you to join our team. Become a member of our talent community to be the first to know about career initiatives that match your skills and interests as they become available, in addition to details on upcoming events, networking opportunities, and news about Aetna.

Join Our Talent Community

Sign up to receive information about job openings that are tailored to your skills and interests. Plus, get the latest career news from Aetna.