[Skip to main content](#main-content) [OpenNash Jobs](https://jobs.opennash.com/) [Hiring report](/reports/hiring/) · [All CVS Health jobs](https://jobs.opennash.com/companies/cvs-health/) · [Search jobs](/search/) CVS Health · Work from home, FL # Medical Director - Florida (3) Work from home, FL Remote Full-time Director $174,070.00 - $374,920.00 Healthcare & Clinical Listed on CVS Health’s official careers site. Posted October 19, 2026. Check that it is still open and apply there. [Apply on CVS Health’s careers site →](https://cvshealth.wd1.myworkdayjobs.com/CVS_Health_Careers/job/FL---Work-from-home/Medical-Director---Florida--3-_R1071470) [OpenNash Jobs](https://jobs.opennash.com/) / [CVS Health](https://jobs.opennash.com/companies/cvs-health/) / Medical Director - Florida (3) ## 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 This is a remote based (work from home) role preferably resides in Florida and can be licensed anywhere in the United States. Aetna, a CVS Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources. In the Medical Director role you will: Provide oversight for medical policy implementation. You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management programs to address member needs across the continuum of care. You will support the Medical Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will: Focus primarily on overseeing utilization review / quality assurance and be responsible for predetermination reviews and reviews of claim determinations. This includes Prior Authorization / Pre Certification / Concurrent Reviews / Peer to Peer Calls / First Level Appeals / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well as directing case management when necessary. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities. The Medical Director will act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams. ### Required Qualifications - Five (5) or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry. - Active and current state medical license without encumbrances (FL preferred) - M.D. or D.O., Board Certification in an ABMS or AOA recognized specialty including post-graduate direct patient care experience. ### Preferred Qualifications Previous UM experience with a Health Plan / Payor. ### Education MD or DO Pay Range The typical pay range for this role is: $174,070.00 - $374,920.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 11/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. ## At a glance - Posted by the employer: Oct 19, 2026 - First seen by OpenNash: Oct 22, 2026 - Last checked: Oct 22, 2026 - Listed for: 3 days - Location: Work from home, FL - Work arrangement: Remote - Employment type: Full-time - Pay: $174,070.00 - $374,920.00[Apply on CVS Health’s careers site →](https://cvshealth.wd1.myworkdayjobs.com/CVS_Health_Careers/job/FL---Work-from-home/Medical-Director---Florida--3-_R1071470) ## More jobs at CVS Health ### [Behavioral Analysis Utilization Management Clinical Consultant-FLORIDA](https://jobs.opennash.com/companies/cvs-health/jobs/6372caf6096d45f75f4b/) Work from home, FL ### [Case Manager - Registered Nurse - Must reside in Florida](https://jobs.opennash.com/companies/cvs-health/jobs/766723dd7a812311d0eb/) Work from home, FL ### [Medical Director - Florida](https://jobs.opennash.com/companies/cvs-health/jobs/5d37041de605bd0b11f6/) Work from home, FL ### [Mental Health Therapist](https://jobs.opennash.com/companies/cvs-health/jobs/43681850662ea187c7c8/) Work from home, FL ### [Pharmacy Technician Aetna Medicare](https://jobs.opennash.com/companies/cvs-health/jobs/11f837542eea323a0dd8/) Work from home, FL ## Similar jobs at other companies ### [Lead Medical Assistant in Tampa, Florida | Medical Assistant at Humana](https://jobs.opennash.com/companies/humana/jobs/f371feba069d4ed6c7c8/) Humana · Tampa, Florida ### [Runner-Busser - LEGOLAND Florida Resort - Legoland Florida Hotels](https://jobs.opennash.com/companies/aramark/jobs/27e1d04b1061f4358f5c/) Aramark · Winter Haven, FL, US ### [Cook - LEGOLAND(R) Florida Resort Hotel - Legoland Florida Hotels](https://jobs.opennash.com/companies/aramark/jobs/bbc8785d0ded0a2abe63/) Aramark · Winter Haven, FL, US ### [DO NOT APPLY - TEST REQ - Medical Consultants Medical Director - Hillsboro US](https://jobs.opennash.com/companies/thermo-fisher-scientific/jobs/23f4abe802ef8436ae82/) Thermo Fisher Scientific · Hillsboro, Oregon, United States of America ### [Chief Financial Officer- Florida Coast Medical Center](https://jobs.opennash.com/companies/tenet-healthcare/jobs/69e22b5a36a608bba45f/) Tenet Healthcare · Port Saint Lucie, FL OpenNash lists jobs from employers’ own careers sites and does not handle applications. Dates come from the employer where stated; “first seen” and “last checked” are our own observations. OpenNash Jobs · Official listings with dates and links to the employer. [Weekly hiring report](/reports/hiring/) · [Methodology](/methodology/)