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Medical Director - Medicaid (ABHVA)

Posted 8 days agoViewed

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💎 Seniority level: Director, Five or more years

📍 Location: United States

💸 Salary: 174070.0 - 374920.0 USD per year

🔍 Industry: Health Care

🗣️ Languages: English

⏳ Experience: Five or more years

Requirements:
  • M.D. or D.O. degree with current and active board certification in ABMS or AOA recognized specialty.
  • Five or more years of experience in health care delivery systems, including clinical practice.
  • Active medical license in the state without encumbrances.
  • Preferred specialties include surgery, internal medicine, family medicine, or emergency medicine.
Responsibilities:
  • Support the Aetna Better Health Plans of the Northeast Region, particularly Aetna Better Health of Virginia.
  • Ensure timely and consistent responses to members and providers.
  • Manage precertification, concurrent review, and appeal requests.
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