Medical Director - Medicaid Appeals
Listed compensation
$174k-$375k
Confirm guaranteed pay, incentives and eligibility with the employer.
- Employment & setting
- Full-Time · remote
- Call expectations
- Not specified
- Weekends
- Not specified
Job description
Join CVS Health as a Medical Director – Medicaid Appeals, Remote in New York, Nevada, United States.
Benefits & Compensation
- Salary: $174K - $375K
- Medical, Dental, and Vision Coverage
- Paid Time Off
- Retirement Savings Options
- Wellness Programs
- Bonus/Short-Term Incentive Program
- Equity Award Program
Work Schedule
- Full-Time position.
- Remote position - work from anywhere.
This position offers remote work flexibility. Work with CVS Health in New York, Nevada, United States.
Key Responsibilities
The Medical Director will oversee Medicaid appeals, ensuring timely and consistent responses to member and provider grievances. They will provide clinical expertise to the appeals team and chair committee meetings regarding medical necessity.
Requirements
Candidates must have at least five years of experience in a health care delivery system and hold an active, unencumbered state medical license. A board certification in an ABMS-recognized specialty is required, with a preference for family, emergency, or internal medicine-pediatrics.
Qualifications
- Education
- Professional certificate or licensure
- Experience
- 5+ years of experience
Key Skills
Family Medicine — Physician Career Context
Of the 50 active Family Medicine listings this role was benchmarked against, 4% are remote, 52% have no call, 72% require no weekends — this position is remote.
CVS Health ranks #7 of 14 employers hiring Family Medicine on WeekdayDoc by average advertised pay.
Family Medicine pay on WeekdayDoc is up 10.5% vs. the prior quarter (through Aug 2026).
Nationally, Family Medicine professionals earn a median annual salary of approximately $265k, with the typical range spanning $200k to $340k depending on experience, location, and practice setting.
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Medical Director - Medicaid Appeals at CVS Health a 6.1 out of 10 for work-life balance — classified as good. This places the position in the Above average in Physician roles — ranked against 18,725 active Physician roles listings on WeekdayDoc. Contributing factors include remote work flexibility.
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