- The Medical Director (Spine) will be a Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery, including postgraduate direct patient care experience specifically.
- 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
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Hospitalist Position in Arizona
1 week ago
Optimum Permanent Placement Services Arizona City, United StatesOptimum is partnering with a practice in central Arizona that has an open Hospitalist position. · Position Highlights: · Shift Information: 12-hour day shifts, 6a-6p or 7a-7p · Schedule: 7 on/7 off · Daily Volume: 18 patients · No procedures required · EMR: Cerner · Must b ...
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All's Well Healthcare Services Arizona City, United States Part timeWe are looking for **Board Certified Urologists** to add to our thriving team · · You will be responsible for diagnosing and treating both pediatric and adult patients alike. Our independent hospital setting allows for autonomy and flexibility. As we have a part-time Urologist ...
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OBGYN position in the Tucson Arizona market
2 weeks ago
All Star Healthcare Solutions Arizona, United StatesOBGYN position in the Tucson Arizona market. JOB · Job Details: · Board Certified/Eligible OBGYN · Active Arizona License or willing to obtain an Arizona License · Call of 1:5 or better · Join an already established Hospital Owned Multispecialty Group · Highly competitive s ...
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220k Family Medicine Position in Arizona
2 weeks ago
Optimum Permanent Placement Services Arizona City, United StatesA physician group in the Phoenix metro area of Arizona has an open Family Medicine position offering a flexible schedule, a $220k base salary, and 4 weeks of PTO · About the Position: · Schedule: 5x8s or 4x10s · Providers rotate Saturdays, which comes out to 4 Saturdays a year ...
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New Phoenix, Arizona CRNA Position
2 weeks ago
Broyles 8780, Inc. Phoenix, AZ, United StatesNew Phoenix, Arizona CRNA Position Available · Sunny weather and blue-bird skies grace this city approximately 300 days a year, allowing you to indulge in a variety of outdoor recreational activities. Crimson mountains line the horizon and are only out-shined by the sun as it s ...
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Enterprise Medical Phoenix, United States Full timeI am currently interviewing experienced ENT Physician Assistants for a position with a busy medical practice in Phoenix, Arizona. Join a practice with a great atmosphere and very little turnover. · Compensation and Benefits · Salary is in the 75% on the MGMA scale plus bonus · ...
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Enterprisemed Phoenix, United StatesI am currently interviewing experienced ENT Physician Assistants for a position with a busy medical practice in Phoenix, Arizona. Join a practice with a great atmosphere and very little turnover. · Compensation and Benefits · Salary is in the 75% on the MGMA scale plus bonus · ...
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MedChi, The Maryland State Medical Society Phoenix, United StatesThis position is in Phoenix, AZ, a progressive, innovative city that offers the friendly, caring atmosphere of a small town. The city offers a rich cultural heritage and unique blend of influences from throughout the southwest. It is a sun lover's mecca, with almost 360 sunny day ...
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Curative Executive Search Phoenix, United States Full time_About the Opportunity:_ · We are seeking a board certified/board-eligible Noninvasive Cardiologist to · join this well-established collegial group of experts in cardiac care. This is · a hospital employed position and the demand for Cardiology is high in this · area of Phoenix, ...
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Banner Health Phoenix, United States Full time**CARDIOLOGIST: NON-INVASIVE** · **WOMEN\'S CARDIOLOGY AND PREVENTION** · **Banner – University Medicine Clinics Arcadia/Phoenix** · **Banner University Medical Group - Phoenix is actively recruiting experienced BE/BC Non-Invasive Cardiologists to** charter our newest facility, B ...
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Banner Health Phoenix, United States Full time**This is an outstanding opportunity for an Advanced Therapeutic Endoscopist** to join a thriving academic GI division in an academic health science center that focuses on supporting research in clinical and scholarship endeavors with faculty appointments and rank at the Universi ...
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Banner Health Phoenix, United States Full time**TRANSPLANT HEPATOLOGY and GASTROENTEROLOGY** · **Banner University Medical Center – Phoenix (BUMC-P)** · **Join Us at a Top Teaching Hospital in the Recreation Corridor of the Southwest in Phoenix, Arizona** · **The Division of Gastroenterology and Hepatology at the University ...
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Banner Health Phoenix, United States Full time**CLINICAL FACULTY: GASTROENTEROLOGIST** · **Banner University Medical Center – Phoenix (BUMC-P)** · **Join Us at Phoenix, Arizona** · **We have an outstanding opportunity for a General Gastroenterology position to** join a thriving academic GI division in an academic health scie ...
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Phoenix Children's Phoenix, United States Full time**Phoenix Children's Hospital, Division of Gastroenterology, Hepatology, and Nutrition is seeking a Pediatric Nurse Practitioner with a minimum 3 years pediatrics experience and preferred gastroenterological experience to join our growing program.** · _The Division of Gastroenter ...
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Enterprise Medical Recruiting Arizona, United StatesA large physician-led healthcare organization with locations throughout Arizona has an opening for an experienced Cardiology Nurse Practitioner to join their team. · CME reimbursement · ~ Company paid long-term disability · ~ Medical Benefits · ~401(k) with immediate vesting ...
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Phoenix Area Indian Health Service Phoenix, United States Full time**Indian Health Service** is seeking a Full-Time **BC/BE Endocrinologist** in downtown **Phoenix, Arizona**. Provide General Endocrinology to an underserved Native American patient population. If you enjoy working with multi-disciplinary teams, value your personal time, and striv ...
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Vascular Centers of America Phoenix, United States Full timeVascular Centers of America stands out as a beacon of hope and healing for those grappling with leg pain caused by Peripheral Arterial Disease (PAD). With an unwavering commitment to excellence, our dedicated medical staff bring decades of experience to the forefront of medical c ...
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Banner Health Phoenix, United States Full time**Rheumatology: Clinical Faculty \| Banner University Medical Group - Phoenix** · **The Division of Rheumatology and Department of Medicine is actively recruiting an outstanding academic clinician to join a clinical faculty team** that provides patient care in the areas of outpat ...
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Soliant Phoenix, United States Full timeMinimum 1+ years physical therapy experience required. · School Physical Therapist (PT) Opportunity in Arizona · Soliant is working with a school district nearby Phoenix, AZ area to find a Physical Therapist (PT). This is an great chance for an experienced PT looking to transitio ...
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Phoenix Children's Phoenix, United States Full time**Phoenix Children's Pediatrics (PCP)** is thrilled to announce remarkable opportunities for dedicated **Pediatricians** to join our **East Valley Pediatric** team. Established in 2017, our Primary Care division is exclusively committed to delivering top-tier pediatric-only prima ...
Neurosurgery Full-Time position in Phoenix, Arizona - CVS Health
Description
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) based anywhere in the US.\*\
.
Required Qualifications
\* 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 OR Neurosurgery, including post-graduate direct patient care experience specifically.
Preferred Qualifications
\* Previous healthcare insurance experience.
Education
\* 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 OR Neurosurgery, including post-graduate direct patient care experience specifically.
Neurosurgery Full-Time position in Phoenix, Arizona professionals in Phoenix
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Frank Vitale
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Tyler Yenkala
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Taylor Abeln
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