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) based 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 specifically.
Expands Aetna's medical management programs to address member needs across the continuum of care. Supports the Medical Management staff ensuring timely and consistent responses to members and providers.
Leads all aspects of utilization review / quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise
Required Qualifications
- 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
- Active and current state medical license without encumbrances
- M.D. or D.O.,Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically.
Preferred Qualifications
Previous healthcare insurance experience.
Education
- 2 or more years of experience in Health Care Delivery System e.g., Clinical Practice and Health Care Industry.
- Active and current state medical license without encumbrances
- M.D. or D.O.,Board Certification in a Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience specifically.
Pay Range
The typical pay range for this role is :
$174,070.00 - $374,900.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
This position also includes an award target in the company’s equity award program.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.
The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.
The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits.
CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
As for time off, Company employees enjoy Paid Time Off ( PTO ) or vacation pay, as well as paid holidays throughout the calendar year.
Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
Medical Director Spine Surgery
A company is looking for a UM Medical Director, Orthopedic Spine, Neurosurgery Spine Surgery - Remote. Key Responsibilities:Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policiesDocument clinical review findings, actions, and outcomes ...
Medical Director, Orthopedic Spine Surgeon REMOTE
The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situation...
Medical Director, Orthopedic Spine Surgeon REMOTE
The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situation...
UM Medical Director, Orthopedic Spine, Neurosurgery Spine Surgery - Remote
The Medical Director also provides/assists in the direction and oversight in the development and implementation of policies, procedures and clinical criteria for all medical programs and services and may serve as a liaison between physicians, and other medical service providers in selected situation...
Medical Director - Spine
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 specifically. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Spine) that can be remote ba...
Staff - Director Registered Nurse (RN) - Hospice - $90K-115K per year
Core Medical-Perm is seeking a Registered Nurse (RN) Hospice Director for a nursing job in Roswell, Georgia. CoreMedical Group is a nationally recognized leader in the medical recruitment and employment industry. You can earn our Club CoreMed vacation by taking a permanent position and referring oth...
Customer Service Representative (Work from home)
We're looking for candidates with great customer service skills to fill our Remote Customer Service role!. Previous experience in customer service or sales is a plus. We're seeking someone who is great with people, building relationships, and putting customers first. Ability to listen to and underst...
Assistant Dean for Research and Scholarship & Associate Professor/Professor (tenure track)
Additionally, there are internal research collaboration opportunities at Georgia State University, notably with the Gerontology Institute, Center for Research on Atypical Development and Learning, the Mark Chaffin Center for Healthy Development, and the Center for Health Services Research. Assistant...
Medical Writer / Editor
Knowledge of medical terminology - prior hospital or clinical experience required - nurses encouraged to apply!. ...
Executive Director, Leadership and Institutional Development
Executive Director, Leadership and Institutional Development. Exceptional communication and interpersonal skills including demonstrated ability to develop and maintain relationships with executives, staff and stakeholders at all levels''. ...