Medical Director - Spine (Austin)

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate. And we do it all with heart, each and every day.

Position Summary

Aetna, a CVS Health Company, a Fortune 6 company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity to help transform health care. We believe that a better care system is more transparent and consumer-focused, and it recognizes physicians for their clinical quality and effective use of health care resources.

This is a remote-based (work at home) position available anywhere in the US.

Aetna has an exciting opportunity for a Medical Director (Spine) that can be remote-based, working from home.

The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience.

This role involves expanding Aetna's medical management programs to address member needs across the continuum of care, supporting Medical Management staff, leading utilization review and quality assurance, and acting as a clinical and business liaison to network providers and facilities.

Responsibilities include overseeing predetermination reviews and claims reviews, providing clinical, coding, and reimbursement expertise using multiple computer applications.

Required Qualifications

• 2+ years of experience in Healthcare Delivery System, including Clinical Practice and Healthcare Industry.
• Active and current state medical license without encumbrances.
• M.D. or D.O., Board Certification in Orthopedic Spine OR Neurosurgery, including post-graduate direct patient care experience.

Preferred Qualifications

• Previous healthcare insurance experience.

Education

• Same as required qualifications.

Pay Range

The typical pay range for this role is $174,070.00 - $374,920.00. The actual salary offer will depend on experience, education, geography, and other relevant factors. This role is eligible for a bonus, commission, or short-term incentive, and includes an equity award target.

Benefits

Our comprehensive benefits include medical plans, 401(k) with matching, employee stock purchase plan, wellness programs, paid time off, flexible schedules, family leave, dependent care resources, tuition assistance, retiree medical, and more. For details, visit .

Application deadline: 10/31/2025.

Qualified applicants with arrest or conviction records will be considered in accordance with applicable laws.