Remote Spine Medical Director (Orthopedic/Neurosurgery)

CVS Health; Connecticut; Hybrid; USD 174,000 - 375,000; Full time

Benefits offered by this job

Bonus eligibility

Comprehensive benefits

Job summary

CVS Health, a Fortune 6 company, is seeking a Medical Director (Spine) to lead clinical governance and utilization review for orthopedics and neurosurgery. This remote role supports Aetna and CVS Health's medical management programs across the continuum of care.

The successful candidate will bring board-certified spine or neurosurgery expertise, active medical license, and strong collaboration with network providers to optimize patient outcomes and resource use.

Qualifications

• MD or DO with board certification in Orthopedic Spine OR Neurosurgery.
• Active and current state medical license.
• 2+ years of experience in Health Care Delivery System.

Responsibilities

• Lead utilization review and quality assurance activities.
• Direct case management and provide clinical expertise.
• Act as liaison to network providers and facilities.
• Handle predetermination reviews and claim determinations with clinical input.

Skills

Clinical Practice

Health Care Delivery

Education

MD/DO

Board Certification in Orthopedic Spine or Neurosurgery

Job description

CVS Health, a Fortune 6 company, is seeking a Medical Director (Spine) to lead clinical governance and utilization review for orthopedics and neurosurgery. This remote role supports Aetna and CVS Health's medical management programs across the continuum of care.

The successful candidate will bring board-certified spine or neurosurgery expertise, active medical license, and strong collaboration with network providers to optimize patient outcomes and resource use.