Bringing our heart to every moment of your health.
Senior Medical Director – Medicaid
Location
Connecticut + 4 moreAll locations: Connecticut | Oklahoma | Texas | Virginia | West Virginia
Posted
4 days ago
Salary
$184.1K - $396.6K / year
Seniority
Senior
Job Description
Senior Medical Director – Medicaid
CVS Health
• Provides leadership of medical management activities in Aetna’s Northeast region (Maryland, New Jersey, New York, Pennsylvania, and Virginia) • Lead a team of Medical Directors • Collaborate with health plan chief medical officers • Implement medical management programs/policies • Direct the utilization review process and oversee the quality of utilization determinations
Job Requirements
- Five (5) or more years of experience in clinical practice
- Five (5) or more years administrative experience in the health care industry or managed care
- M.D. or D.O., Active Board Certification in an ABMS or AOA recognized specialty, including post-graduate direct patient care experience
- Current and Active State Medical License without encumbrances
Benefits
- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families
Related Guides
Related Categories
Related Job Pages
More Medical Director Jobs
Appeals Medical Director.
UnitedHealth GroupUnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Perform clinical reviews for appeals and grievances across various health plans, communicate decisions with medical directors, and engage in process improvement and team collaboration to enhance healthcare quality and access.
Forward Deployed Medical Lead
C&D Talent AdvisoryFormed is a multidisciplinary digital studio operating three core verticals: Formed IT — Webflow development, no-code engineering, AI systems, and digital product architecture Formed Animation — Motion systems, 3D visualization, and high-impact brand storytelling Formed Academy — A technology-driven learning platform teaching UI/UX, no-code, AI content creation, and automation As a Certified Webflow Partner Studio, we design scalable digital ecosystems where innovation mindset meets technology.
Role Description This is one of the first Forward Deployed Medical Lead hires within the organization. You won't join an existing playbook, you'll help create it. As the clinical voice on the ground, you will bridge clinicians and engineers, ensuring that cutting-edge AI becomes trusted, safe, and effective patient care. You'll work directly with healthcare leaders, build adoption strategies, and define how clinical AI is deployed globally. What You'll Do - Co-design clinical workflows, governance models, and deployment strategies with partner organizations - Translate seamlessly between engineering teams and clinicians - Lead clinical adoption initiatives including training, change management, and stakeholder engagement - Build trust with physicians, nurses, and healthcare executives - Define clinical readiness metrics and deployment standards - Support commercial discussions where clinical credibility is essential - Shape the organization's long-term clinical playbook and best practices Qualifications - Clinical background (MD, RN, PharmD, or equivalent) or senior medical operations leadership experience - Experience implementing healthcare technology or digital transformation initiatives - Strong change management and stakeholder engagement skills - Ability to communicate effectively with both clinicians and engineers - Comfort operating in ambiguous, fast-moving environments - Technology-positive mindset with curiosity for AI and emerging healthcare tools - Excellent English communication skills Ideal Backgrounds - Physician who transitioned into health tech or clinical AI - Medical operations leader at a digital-first healthcare provider - Clinical informatics specialist with deployment experience - Hospital medical director leading transformation programs - Public health physician with system-level implementation experience - Military medical officer with deployment experience Preferred Experience - Deployment of AI or digital health solutions in hospitals - Clinical governance or implementation playbook design - Experience with healthcare systems, payers, or ministries of health - Work in high-growth healthcare startups or scaleups - Exposure to clinical AI products and workflows Benefits - Competitive compensation package - Meaningful early-stage equity - Opportunity to shape an entirely new category in healthcare AI - Direct collaboration with world-class founders and healthcare innovators - Flexible remote work model with global impact
Area Director of Clinical Operations, North Florida
Florida Cancer Specialists & Research InstituteWorld-Class Medicine. Hometown Care.
• Collaborate with area nurse managers to address clinical staff performance concerns and ensure clinical support • Collaborates with area leadership on clinical candidate screening and selection • Direct oversight of assigned staff in the area • Partner with nurse managers and pharmacy leadership to review and adjust clinical staffing across assigned sites as necessary • Review assigned events in origami and regional event dashboards to identify trends in patient safety/quality needs • Provide quarterly event trend report • Partner with Risk Management, nurse managers and clinical staff to ensure timely Origami event review and appropriate follow-up • Assists in the preparation of the annual area budget related to clinical services • Perform other duties and projects as assigned
Associate Medical Director
Alnylam PharmaceuticalsWe are the leader in RNAi therapeutics – a revolutionary approach with the potential to transform the lives of people with rare and common diseases. Built on Nobel Prize-winning science, Alnylam has delivered the breakthroughs that made RNAi therapeutics possible and are just at the beginning of what’s possible. Our deep pipeline, late-stage programs, and bold vision reflect our core values: fierce innovation, passion for excellence, purposeful urgency, open culture and commitment to people. We're proud to be a globally recognized top employer, where an authentic, inclusive culture and breakthrough thinking fuel one another.
Role Description We are seeking an experienced Associate Medical Director to join our dynamic team in the United States. This pivotal role will support the strategy and execution of comprehensive medical plans in the US, with focus on the ATTR space. The ideal candidate will support the development and execution of plans through various channels, including our field medical team and collaborating closely with cross-functional partners to advance patient care and support healthcare professionals in the diagnosis and management of ATTR. - Support strategic planning by leading the development and refinement of the US Medical Education strategic roadmap, ensuring alignment with broader Medical Affairs and cross-functional objectives. - Lead the development and management of comprehensive project and materials development plans, ensuring seamless coordination among matrixed teams including Medical Affairs, Commercial, Materials Review Boards, Compliance, and external partners. - Oversee the execution of US Medical Education plans, ensuring cohesive, multi-channel dissemination of accurate, timely, and impactful scientific messaging and educational resources tailored to key healthcare professional (HCP) audiences. - Support data-driven refinement of the US Medical Educational Plan, content and messages through analysis of KPI related to knowledge, attitudes and practices of US stakeholders through advisory boards, structured insight generation activities, CME reporting analysis and insights from professional medical associations. - Support the planning and execution of medical education activities at national and regional scientific congresses, including symposia, booth activities, and peer-to-peer engagement opportunities. - Ensure all educational initiatives adhere to regulatory requirements, industry best practices, and internal policies, upholding the highest standards of ethical and professional conduct in all medical affairs activities. Qualifications - Advanced degree (PharmD, PhD, MD) with strong preference for candidates with specialization or experience in cardiology. - Minimum of 5 years of experience in medical affairs within the pharmaceutical or biotech industry, including experience in field medical roles and strategy development. - Proven ability to develop and execute medical strategies and effectively communicate complex scientific information to diverse audiences. - Experience in developing and/or pulling through Medical Education Messages from concept to execution is an asset. - Strong educational communication skills, with the ability to guide field medical teams. - Excellent interpersonal, communication, and collaboration skills, with the ability to engage effectively with internal and external stakeholders. - Solid understanding of the US regulatory environment. - Ability to travel as needed to fulfill job responsibilities. Requirements - U.S. Pay Range: $194,100.00 - $262,500.00 - This role is eligible for an annual short-term incentive award (e.g., bonus or sales incentive) and an annual long-term incentive award (e.g., equity). Benefits - Comprehensive benefits including medical, dental, and vision coverage. - Life and disability insurance. - A lifestyle reimbursement program. - Flexible spending and health savings accounts. - 401(k) with a generous company match. - Paid time off, wellness days, holidays, and two company-wide recharge breaks. - Generous family resources and leave.

