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Remote Medical Director – Medicare Appeals Lead

Remote / Online - Candidates ideally in
Manchester, Hartford County, Connecticut, 06040, USA
Listing for: CVS Health
Remote/Work from Home position
Listed on 2026-09-30
Job specializations:
  • Doctor/Physician
    Healthcare Consultant, Chief Medical Officer / Medical Director
Salary/Wage Range or Industry Benchmark: 174000 - 375000 USD Yearly USD 174000.00 375000.00 YEAR
Job Description & How to Apply Below

Aetna, a CVS Health Company, is seeking a Medical Director to lead Medicare Part C appeals and oversee the appeals process. This remote role spans the US and requires an active medical license and board-certified specialty.

You will supervise appeal nurses, participate in the Second Look Review, provide after-hours coverage, and collaborate with Medicare Quality and Compliance to improve policy implementation and appeals efficiency.

The Remote Medical Director – Medicare Appeals Lead position in the Bio & Pharmacology & Health field is open for applications.

Full responsibilities and requirements are described in the listing above.

Learn more about the Remote Medical Director – Medicare Appeals Lead role in the description above.

We appreciate your interest in this position.

Join CVS Health and contribute to our ongoing work.

Take a moment to read everything above and see whether this role is right for you.

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