Exec Dir, Regional MD

Executive Medical Director provides clinical and operational leadership across Aetna and CVS enterprise initiatives focused on documentation accuracy, compliance, and medical management performance. Leads utilization review, ensures care management performance aligns with clinical goals, oversees medical management staff and policies, develops medical policy and guidelines, and serves as lead clinical liaison to network providers. The role directs senior medical directors, expands medical management programs across the continuum of care, handles complex case reviews, and may require weekend on-call coverage with travel 15–25%. Requires MD/DO with board certification, an active state medical license, and 3+ years in leadership within Medicare or managed care, plus substantial clinical leadership experience.