
10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
🕒 March 4
🌵 Arizona, Idaho, +1 more states – Remote
💵 $174.1k - $374.9k / year
⏰ Full Time
🔴 Lead
👨⚕️ Medical Director
👻 Ghost score 45%
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10,000+ employees
Founded 1963
🏥 Healthcare
⚕️ Healthcare Insurance
🛒 Retail
Healthcare • Healthcare Insurance • Retail
CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.
• Serve as a Subject Matter Expert with an Orthopedic Spine or Neurosurgery background • Expand Aetna’s medical management programs across the continuum of care • Support Medical Management staff with timely and consistent responses to members and providers • Lead utilization review and quality assurance activities • Direct case management • Provide clinical expertise and business direction through participation in clinical team activities • Act as lead business and clinical liaison to network providers and facilities • Support effective execution of medical services programs by clinical teams • Conduct predetermination reviews and reviews of claim determinations • Provide clinical, coding, and reimbursement expertise using multiple computer-based applications
• 2 or more years of experience in a health care delivery system, such as clinical practice or the health care industry • Active and current state medical license without encumbrances • M.D. or D.O. • Board certification in Orthopedic Spine or Neurosurgery • Post-graduate direct patient care experience specifically in Orthopedic Spine or Neurosurgery
• CVS Health bonus, commission or short-term incentive program in addition to base pay • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being
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