Medical Director (Spine/Ortho)

in Portland, OR

Medical Director (Spine/Ortho) Job

Job Description Job Attributes+

  • Job ID


  • Req #


  • Job Location

    Portland, OR, US

  • Job Category


  • Job Type

    Full Time

Job Description
Position Summary

**The Medical Director role is remote based, work from home**

Aetna, a CVS Health Company, has an exciting opportunity for 3 Medical Directors that can be remote based, work from home.  The Medical Directors will be Subject Matter Experts (SME) with a background in Orthopedic spine and Neurosurgery OR Orthopedic specialty, including post-graduate direct patient care experience specifically.  

Fundamental Components
Position Description

  • Expands Aetna's medical management programs to address member needs across the continuum of care.
  • Supports the Medical Management staff ensuring timely and consistent responses to members and providers.
  • Leads all aspects of utilization review/quality assurance, directing case management Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities
  • Acts as lead business and clinical liaison to network providers and facilities to support the effective execution of medical services programs by the clinical teams
  • Responsible for predetermination reviews ad reviews of claim determinations, providing clinical, coding, and reimbursement expertise

Background Experience

  • 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 a Orthopedic spine and Neurosurgery OR Orthopedic specialty including post-graduate direct patient care experience specifically.


Percent of Travel Required
0 - 10%

Additional Information

Who We Are

We’re a values-based organization focused on helping people on their path to better health. Here, you’ll work alongside former members of the military and current reservists and members of the National Guard. Bring your unique skills to our industry, and we look forward to helping you grow your career.

We offer opportunities at all levels for U.S. Veterans and will enforce the Uniformed Service Employment and Reemployment Rights Act (USERRA).

Also, if you’re a Reservist member of the National Guard, be assured that you’ll have a job at CVS Health when you return from deployment. And, even though your civilian job may differ from your military job, we have many opportunities that may be right for you.

We recognize the value of military spouses bring to our company and continue to look for ways to help you find employment.

Explore our career areas and learn more about continuing your mission to help others.

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