Job Description:
We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Aetna, a CVS Health Company, has an outstanding opportunity for a Senior Medical Director to provide end-to-end clinical and operational leadership for Medicare and other activities, ensuring the highest standards of quality, compliance, and efficiency across the continuum of services. This leader is responsible for developing, training, and managing the Precertification Team, ensuring compliance, efficiency, and evidence-based decision making, driving process improvement, and fostering a collaborative team culture. This senior level MD serves as a key liaison between clinical and non-clinical stakeholders to ensure effective operations, communication, and strategic alignment. This role provides strategic leadership and oversight for clinical operations by developing and implementing clinical policies and protocols, ensuring high-quality patient care, overseeing clinical functions, promoting evidence-based practices, and collaborating with cross-functional leaders to improve clinical outcomes and patient safety. They apply medical expertise, leadership skills, and knowledge of industry standards to drive clinical excellence, optimize resources, and contribute to the overall success of the organization's clinical operations.
