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CVS Health
Remote - Nationwide

Medical Director - Medicaid Appeals

Family Medicine Above average in Physician rolesFull-Time

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
Posted 15m ago · Verified live

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

Medical necessity reviewUtilization managementClinical practiceManaged careGrievance managementState fair hearingsMedicaid policyDynamo appeals and grievancesMedical management

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.

Top Family Medicine Jobs

50 matches · ranked by pay

Salary Distribution50 jobs · 43 employers

7
<$280k
14
$280k-315k
15
$315k-350k
10
$350k-385k
4
$385k+

Annual compensation range

Benefits & Perks47 jobs · 43 employers

401k / retirement match
94% this job
CME allowance
64%
Sign-on bonus
62% this job
Relocation assistance
47%
Loan repayment
38%

Share of similar jobs offering each benefit

#1

Family Medicine Physician- Clearwater Clinic

Centra Care · Clearwater, Minnesota

$260k-$500k
#2

Physician

MedCap Health · Oklahoma City, Oklahoma

$300k-$500k
#3

Physician, Internal Medicine - Foster City Medical Center

$370k-$425k
#4

Internal Medicine Physician

$400K+
+ 48 more · ranked by pay

Work-life snapshot

6.1/ 10
Listing-based score

Above average in Physician roles

A signal to investigate—not a guarantee about the workplace.

  • Remote
CVS Health logo

About CVS Health

Hospitals and Health Care
Woonsocket, RI
10,000+ employees

Benefits & Perks

Medical, Dental, and Vision Coverage
Paid Time Off
Retirement Savings Options
Wellness Programs
Bonus/Short-Term Incentive Program
Equity Award Program