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Medical Director - Spine - Remote Eligible

Lead the development of innovative medical management programs for spine care.
Remote
Expert
$174,070 - 374,920 USD / year
2 weeks ago
CVS Health

CVS Health

CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.

✨ About The Role

- The Medical Director (Spine) will serve as a Subject Matter Expert (SME) in their field, providing clinical expertise and business direction. - This role involves leading utilization review and quality assurance processes, ensuring effective case management. - The Medical Director will support medical management staff in delivering timely responses to members and providers. - Responsibilities include conducting predetermination reviews and assessments of claim determinations. - The position requires collaboration with network providers and facilities to enhance the execution of medical services programs.

âš¡ Requirements

- The ideal candidate will have a strong background in Orthopedic Spine or Neurosurgery, with direct patient care experience. - A minimum of 2 years of experience in the healthcare delivery system is essential for this role. - Candidates should possess an active and current state medical license without any encumbrances. - Board certification in Orthopedic Spine or Neurosurgery is required, indicating a high level of expertise in the field. - Previous experience in healthcare insurance is preferred, showcasing an understanding of the insurance landscape.
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Medical Director - Spine - Remote Eligible
Remote
$174,070 - 374,920 USD / year
Healthcare Administration
About CVS Health
CVS Health is a leading pharmacy and healthcare company offering prescriptions, products, and wellness services.