Medical Director

2 days ago


Illinois, United States CVS Health Full time
Job Summary

CVS Health is seeking a highly skilled Medical Director to lead our Spine Care program. As a Subject Matter Expert, you will be responsible for expanding our medical management programs to address member needs across the continuum of care.

Key Responsibilities
  • Provide clinical expertise and business direction in support of medical management programs
  • Lead all aspects of utilization review/quality assurance, directing case management
  • Act as lead business and clinical liaison to network providers and facilities
  • Predetermination reviews and reviews of claim determinations, providing clinical, coding, and reimbursement expertise
Requirements
  • 2 or more years of experience in Health Care Delivery System
  • 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
What We Offer

CVS Health offers a competitive salary range of $174,070.00 - $374,900.00, as well as a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, and employee stock purchase plan. We also offer a fully-paid term life insurance plan, short-term and long-term disability benefits, and numerous well-being programs, education assistance, and free development courses.



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