CVS Health
Medical Director -Spine
$174K–$375K
CT - Work from home +47 · Remote · Director · Full-time · Posted Oct 21, 2026
- Location
- CT - Work from home
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Work At Home-Delaware - Experience
- 2 or more years in a health care delivery system or health care industry; post-graduate direct patient care experience is also required, with no duration stated.
- Education
- M.D. or D.O.; board certification in Orthopedic Spine or Neurosurgery.
About the job
Provides clinical and business leadership for Aetna’s spine medical management programs, including utilization review, case management, and provider support.
What you'll do
- Lead utilization review and quality assurance, directing case management and participating in clinical team activities.
- Serve as a clinical and business liaison to network providers and facilities.
- Review predeterminations and claim determinations, applying clinical, coding, and reimbursement expertise.
What they ask for
- Active, current state medical license without encumbrances.
- M.D. or D.O. and board certification in Orthopedic Spine or Neurosurgery.
- Post-graduate direct patient care experience specifically in Orthopedic Spine or Neurosurgery.
- At least 2 years of experience in a health care delivery system or health care industry.
Nice to have
- Previous healthcare insurance experience.
Pay
$300K USD base salary (starting); $174,070.00 - $374,920.00 USD base salary
Model-written summary · the original posting is authoritative