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, has an exciting opportunity for a Medical Director (Pain Management) that can be remote based, work from home.
This role can be remote based anywhere in the US.
The Medical Director (Pain Management) will be a Subject Matter Expert (SME) with a background in Pain Management specialty, including post-graduate direct patient care experience specifically.
This role expands Aetna's medical management programs to address member needs across the continuum of care. In this role you'll support the Medical Management staff ensuring timely and consistent responses to members and providers.
You will lead all aspects of utilization review / quality assurance, directing case management. In this role you will provide clinical expertise and business direction in support of medical management programs through participation in clinical team activities You'll act as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams In addition, you will be 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 Pain Management specialty including post-graduate direct patient care experience specifically
Preferred Qualifications
Previous healthcare insurance experience.
Education
M.D. or D.O.,Board Certification in a Pain Management specialty.
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.
Director Case Management - Registered Nurse (RN) - $20,000 Sign-On Bonus
Director Case Management - Registered Nurse (RN). Develop and implement case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Requires 3+ years of case management experience in an acute care setting. Interprets standards of...
Director Case Management - Registered Nurse (RN) - $20,000 Sign-On Bonus
Director Case Management - Registered Nurse (RN). Develop and implement case management programs, including utilization review, intake or discharge planning, and managed care contracting or negotiation. Requires 3+ years of case management experience in an acute care setting. Interprets standards of...
Medical Director - (Pain Management SME)
The Medical Director (Pain Management) will be a Subject Matter Expert (SME) with a background in Pain Management specialty, including post-graduate direct patient care experience specifically. Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Pain Management) that can...
Inpatient Care Management Medical Director - Remote
Inpatient Care Management Medical Director. Although not a primary job function, Medical Directors with the interest in doing so often can be involved with change design and management. The Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospi...
Medical Director, Utilization Management
Two (2) years of previous medical director experience working for a health plan, medical group, or hospital in utilization management or medical management. As a Medical Director in Utilization Management, you share responsibility for leadership in the appropriate use of medical services within esta...
Medical Assistant - Pain Management
The Medical Assistant serves the patient and the provider by gathering and maintaining the necessary medical information in a cheerful, friendly, personable manner; providing quality patient care and helping to establish rapport between the physician and patient. Obtains patient histories and vital ...
RN Staff Nurse Ambulatory Clinic - Pain Management
The RN Staff Nurse Ambulatory-Clinic assesses, analyzes, plans, implements and evaluates patient care following established patient care standards for Legacy Health System including those for patient assessment and transfer. The RN Staff Nurse Ambulatory-Clinic assesses, analyzes, plans, implements ...
Medical Director - Post-Acute Care Management - Care Transitions - Remote
Ensure appropriate management/resolution of local queries regarding patient case management either by responding directly or routing these inquiries to the appropriate SME. Demonstrated ability to positively interact with other clinicians, management, and all levels of medical and non-medical profes...
Clinical Social Worker (CSWA or LCSW) - Pain Management
Legacy’s Pain Management Center at Good Samaritan Medical Center is an interdisciplinary, multimodal program that supports adults suffering from chronic pain conditions. Preferred: 1 year of relevant experience in care management, mental health and/or addictions services, medical social work, or soc...
Licensed Psychiatric Nurse Practitioner
Remote Licensed Psychiatric Nurse Practitioner. We are excited to begin helping you if you are a fully-licensed, ANCC board-certified Psychiatric Nurse Practitioner with:. Are you a licensed Psychiatric Nurse looking to launch a private practice, or grow your existing practice? Headway can help you ...