David Jaimovich
Medical Director @Aetna, A Cvs Health Company
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WORK HISTORY
Medical Director @Aetna, A Cvs Health Company
IL, US
Responsible for actively reviewing complex clinical scenarios and applying my medical background, experience, and judgement to make determinations whether requested services, requested level of care, and/or requested site of service should be authorized. Working within a context of regulatory compliance, assisted by diverse resources, including national clinical guidelines, CMS policies and determinations, clinical reference materials, internal teaching conferences, and application of Medicare and Medicare Advantage requirements. Participate in care management, conflict resolution, appeals processes and communicate outcomes to physicians and facilities in order to promote value-based health and disease/care management
EDUCATION
Northwestern University - The Feinberg School of Medicine
Healthcare
Rush Medical College of Rush University Medical Center
Fellow in Pediatric and Adult Surgical Critical Care, Critical Care Medicine Residency Program
Cliffside Park High School
Hs Diploma, General
Northwestern University - The Feinberg School of Medicine
Fellow, Children's Memorial Hospital, Pediatric Critical Care Medicine Residency Program
Universidad Autónoma de Guadalajara
MD, Medicine
Fairleigh Dickinson University
Bachelor of Science (BSc), Biology-PreMed
Rush Presbyterian St. Luke's Medical Center
Pediatrics Residency Program
SKILLS
ABOUT DAVID JAIMOVICH
Medical Director, Legal Affairs CVS/Aetna Health
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