Medical Director - Spine

CVS Health; Town of Texas (WI); Remote; USD 174,000 - 375,000; Full time

Job summary

CVS Health is seeking a remote Medical Director (Spine) to lead medical management initiatives and support quality assurance in healthcare delivery. The ideal candidate will have a strong background in orthopedic spine or neurosurgery, along with significant experience in clinical practice and healthcare systems. This role offers a competitive salary and comprehensive benefits, reflecting the importance of quality care in the healthcare industry.

Benefits

Comprehensive medical, dental, and vision benefits

401(k) and stock purchase plans

Education assistance

Paid time off

Discounts on various services

Qualifications

• 2+ years of experience in Healthcare Delivery System.
• Active and current state medical license.
• Board Certification in relevant specialty.

Responsibilities

• Expand medical management programs to address member needs.
• Support medical management staff and lead utilization review.
• Act as a clinical liaison to network providers.

Skills

Healthcare Delivery System

Clinical Practice

Medical Management

Utilization Review

Quality Assurance

Education

M.D. or D.O.

Board Certification in Orthopedic Spine or Neurosurgery

Job description

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient, and affordable.

Position Summary

Aetna, a CVS Health Company, a Fortune 6 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.

• This is a remote-based (work at home) position available anywhere in the US.

Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote-based, work from home. The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience. The role involves expanding Aetna's medical management programs to address member needs across the continuum of care, supporting medical management staff, leading utilization review and quality assurance, and acting as a clinical liaison to network providers.

Required Qualifications

• 2 or more years of experience in Healthcare Delivery System, e.g., Clinical Practice and Healthcare Industry.
• Active and current state medical license without encumbrances.
• M.D. or D.O., Board Certification in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience.

Preferred Qualifications

• Previous healthcare insurance experience.

Education

• Same as required qualifications: 2+ years in Healthcare Delivery System, active license, and certification in relevant specialty.

Pay Range

The typical pay range for this role is $174,070.00 - $374,900.00. This range reflects the base salary or hourly rate for positions within this job grade. Actual offers depend on experience, education, geography, and other factors. The role may include bonuses, incentives, and equity awards.

In addition to compensation, CVS Health offers comprehensive benefits including medical, dental, vision, 401(k), stock purchase plans, insurance, well-being programs, education assistance, discounts, and paid time off, aligned with state law and company policies.

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