Clinical Operations Supervisor in United States

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary: Ready to take your Medical Director career to the next level with a Fortune 6 company? Join Aetna, a CVS Health company, and make a meaningful impact on the health and well-being of Medicaid members across the country. Aetna operates Medicaid managed care plans in Arizona, Florida, Illinois, Kentucky, Louisiana, Maryland, Michigan, New Jersey, New York, Ohio, Oklahoma, Pennsylvania, Texas, Virginia, and West Virginia. We are seeking a Medical Director to join our centralized Medical Management team. This work-from-home position will primarily support Aetna Better Health of Louisiana , while also providing support across the other health plans as needed. In this role, you will partner with Medical Management staff to ensure timely, consistent, and clinically sound decisions for members and providers. Key responsibilities include: Utilization Management and medical necessity reviews Prior authorization and precertification determinations Concurrent review for inpatient and outpatient services Acute and post-acute care reviews Peer-to-peer consultations with treating providers Pharmacy reviews and first-level appeal determinations Collaboration with multidisciplinary clinical and operational teams The Medical Director also participates in a rotating on-c

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Executive Director, Technology Product Management – Medical Cost Initiatives Location: Remote Department: Healthcare Technology & Product Management Reports To: VP, Chief Health Informatics Officer (CHIO) - CVS Healthcare Delivery Role Overview As the Executive Director, Digital Product – Medical Cost Initiatives , you will lead the technology product strategy and execution for key medical cost portfolios for CVS Healthcare Delivery businesses. Core areas of focus are Care Transitions, Patient Segmentation, Chronic Condition Pathways, and Specialty Care Services. In this high-impact executive role, you will partner directly with clinical and business operational leaders to shape end-to-end technology pathways that support CVS Healthcare Delivery care models. You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical vision into scalable technology roadmaps that optimize patient outcomes and lower the total cost of care. The ideal candidate must have expertise with value-

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Location Bureau County or surrounding area. Program Overview Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand dually eligible members to change lives in new markets across the country. Position Summary/Mission Our Care Managers are frontline advocates for members who cannot advocate for themselves. They are responsible for assessing, planning, implementing, and coordinating all case management activities with members to evaluate the medical needs of the member to facilitate the member’s overall wellness. Fundamental Components & Physical Requirements Develops a proactive plan of care to address identified issues to enhance the short and long-term outcomes as well as opportunities to enhance a member’s overall wellness. Uses clinical to

Work Flexibility: Field-based Sales Representative – Neurosurgical (NS) Step into a field-based sales role focused on supporting neurosurgical procedures and helping healthcare providers evaluate innovative medical technologies. In this role, you'll work directly with surgeons, hospital teams, and clinical staff across your territory, providing product expertise, procedural support, and consultative sales solutions in fast-paced clinical environments. This is an opportunity to build a territory, develop trusted customer relationships, and contribute to the growth of a leading medical technology portfolio. NS Product Portfolio: Stryker | Neurosurgical What You Will Do Drive sales performance by promoting and selling neurosurgical products across an assigned territory while meeting or exceeding sales goals. Support product evaluations, surgical procedures, and clinical demonstrations in operating rooms and procedural settings. Educate surgeons, nurses, and healthcare professionals on product applications, clinical data, and economic value. Build and maintain relationships with hospitals, health systems, surgeons, and key clinical stakeholders. Identify new business opportunities, account expansion opportunities, and territory growth initiatives. Track sales activity, territory performance, and customer engagement using approved business tools and reporting processes. Coordinate case coverage and provide on-site support during neurosurgical procedures. Collaborate with regional leadership to develop territory plans, prioritize accounts, and execute business objectives. What You Will Need Required Qualificatio

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. This position is focused on assisting members in: Kankakee, Iroquois, Livingston, Ford, Champaign and surrounding counties. Position Summary/Mission: The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Fundamental Components • Evaluation of Members: Through the use of care management tools and information/data

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Requisition Job Description Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 50-75% of the tim

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Schedule: Monday-Friday 8AM - 5PM Travel: Up to 55-75% travel in and around Yale New Haven, CT. Position Summary Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strateg

Work Flexibility: Field-based Sales Representative – Neurosurgical (NS) Step into a field-based sales role focused on supporting neurosurgical procedures and helping healthcare providers evaluate innovative medical technologies. In this role, you'll work directly with surgeons, hospital teams, and clinical staff across your territory, providing product expertise , procedural support, and consultative sales solutions in fast-paced clinical environments. This is an opportunity to build a territory, develop trusted customer relationships, and contribute to the growth of a leading medical technology portfolio. NS Product Portfolio: Stryker | Neurosurgical What You Will Do Drive sales performance by promoting and selling neurosurgical products across an assigned territory while meeting or exceeding sales goals. Support product evaluations, surgical procedures, and clinical demonstrations in operating rooms and procedural settings. Educate surgeons, nurses, and healthcare professionals on product applications, clinical data, and economic value. Build and maintain relationships with hospitals, health systems, su

Work Flexibility: Field-based Sales Representative - Interventional Spine (IVS) Step into a field-based sales role focused on supporting physicians, hospitals, ambulatory surgery centers, and healthcare providers with Stryker’s Interventional Spine solutions. In this role, you will manage a sales territory, support clinical procedures, and help customers evaluate technologies designed for spine and pain management applications. This is an opportunity to combine consultative selling, clinical support, and territory management in a fast-paced healthcare environment. IVS Product Portfolio: Stryker | Interventional Spine What You Will Do Promote and sell Interventional Spine products within an assigned geographic territory to achieve sales and revenue objectives. Build relationships with physicians, nurses, administrators, and clinical staff to support account growth and customer retention. Support product evaluations, procedures, and clinical cases in operating rooms, procedure suites, and ambulatory surgery centers. Educate customers on product features, clinical applications, and economic considerations to support purchasing decisions. Identify new business opportunities and develop territory plans to increase account penetration and market share. Monitor territory performance, sales activities, and account trends, providing regular updates to leadership. Coordinate case coverage, inventory management, and customer support activities to ensure a high level of service. Maintain knowledge of product offerings, competitive solutions, and industry trends to effectively support customer needs. What You Will Need Required Q

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary Location: Work From Home – Flexible, Travel Required: 25 – 50% (Wayne and Macomb Counties) Schedule: Standard business hours Monday-Friday 8:00am-5:00pm EST No evenings, weekends, or major holidays 4 day/10-hour schedule available after training ​ Our Mission The LTSS RN Case Manager is responsible for comprehensive assessment, care planning, coordination, implementation, and monitoring of Long-Term Services and Supports (LTSS) for dual-eligible Medicare and Medicaid members. This role ensures members receive appropriate waiver and community-based services to promote safety, independence, and improved health outcomes while maintaining regulatory compliance. This position includes in-home visits to complete functional assessments, evaluate eligibility for waiver services, and develop person-centered service plans. Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and

Work Flexibility: Field-based Clinical Specialist, Joint Replacement As a Clinical Specialist at Stryker, you will help improve orthopedic surgeries around the world and play a direct role in our mission of making healthcare better. In this role, you will build deep clinical and technical expertise across both robotic (Mako SmartRobotics ™) and manual orthopedic procedures. You will support surgeons in the operating room by assisting with pre-operative planning, case preparation, system setup, and real-time procedural workflows to ensure safe, accurate , and efficient outcomes. You will gain hands-on experience working with Mako technology—including CT-based planning, implant sizing, registration, and intra-operative support—while also developing strong competency in manual procedures, instrumentation, and OR protocols. Through shadowing experienced team members, supporting product demonstrations, and participating in labs and education programs, you will learn the systems, processes, and best practices that define world-class clinical support. This role requires adaptability, steady composure, and strong problem-solving in a fast-paced surgical environment. Because patients’ needs don’t follow business hours, you will also participate in on-call coverage, including evenings, wee

We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions At Medtronic, the Clinical Specialist, supports the Neuromodulation Pain and Target Drug Delivery Therapies in the areas of surgical coverage, follow-up support, troubleshooting, customer service and education. This person will be engaged in basic market de

We anticipate the application window for this opening will close on - 30 Sep 2026 Careers that change lives start here. Medtronic is a global leader in healthcare technology with a Mission to alleviate pain, restore health, and extend life. Our 95,000 employees work across more than 150 countries to put patients first — developing innovative medical technologies that improve the lives of 72+ million patients each year. Your unique talents will help shape the future of healthcare while building a career grounded in purpose, growth, and impact. A Day in the Life Job Specific Summary We are seeking a committed professional to join our team. While this is a remote position not located at a physical Medtronic site, the candidate hired will be required to reside within the territory and drive to multiple accounts throughout the region. A valid driver's license is essential for this role. Our Neuromodulation Operating Unit provides advanced therapies for chronic pain, movement disorders, and other neurological conditions. Through spinal cord stimulation, deep brain stimulation, and targeted drug delivery systems, we deliver personalized treatments that restore function, reduce symptoms, and improve quality of life worldwide. Check us out on LinkedIn: Medtronic Brain Modulation and Pain Interventions At Medtronic, the Clinical Specialist, supports the Neuromodulation Pain and Target Drug Delivery Therapies in the areas of surgical coverage, follow-up support, troubleshooting, customer service and education. This person will be en

Work Flexibility: Field-based Overview As a Clinical Specialist at Stryker, you will help improve orthopedic surgeries around the world and play a direct role in our mission of making healthcare better. In this role, you will build deep clinical and technical expertise across both robotic (Mako SmartRobotics™) and manual orthopedic procedures. You will support surgeons in the operating room by assisting with pre-operative planning, case preparation, system setup, and real-time procedural workflows to ensure safe, accurate, and efficient outcomes. You will gain hands-on experience working with Mako technology—including CT-based planning, implant sizing, registration, and intra-operative support—while also developing strong competency in manual procedures, instrumentation, and OR protocols. Through shadowing experienced team members, supporting product demonstrations, and participating in labs and education programs, you will learn the systems, processes, and best practices that define world-class clinical support. This role requires adaptability, steady composure, and strong problem-solving in a fast-paced surgical environment. Because patients’ needs don’t follow business hours, you will also participate in on-call coverage, including evenings, weekends, and holidays, to ensure uninterrupted support for urgent cases and time-sensitive customer needs. What You Will Do Gain competency in solo case coverage for manual and robotic procedures through hands-on training. Assist surgeons with pre-operative CT-based planning, implant sizing, and positioning using advanced software. Support full case preparation, including instrumentation checks, equipment setup, and OR readiness. Troubleshoot technical issues confidently and efficiently in the operating room. Learn and supp

Work Flexibility: Field-based Overview As a Clinical Specialist at Stryker, you will help improve orthopedic surgeries around the world and play a direct role in our mission of making healthcare better. In this role, you will build deep clinical and technical expertise across both robotic (Mako SmartRobotics™) and manual orthopedic procedures. You will support surgeons in the operating room by assisting with pre-operative planning, case preparation, system setup, and real-time procedural workflows to ensure safe, accurate, and efficient outcomes. You will gain hands-on experience working with Mako technology—including CT-based planning, implant sizing, registration, and intra-operative support—while also developing strong competency in manual procedures, instrumentation, and OR protocols. Through shadowing experienced team members, supporting product demonstrations, and participating in labs and education programs, you will learn the systems, processes, and best practices that define world-class clinical support. This role requires adaptability, steady composure, and strong problem-solving in a fast-paced surgical environment. Because patients’ needs don’t follow business hours, you will also participate in on-call coverage, including evenings, weekends, and holidays, to ensure uninterrupted support for urgent cases and time-sensitive customer needs. What You Will Do Gain competency in solo case coverage for manual and robotic procedures through hands-on training. Assist surgeons with pre-operative CT-based planning, implant sizing, and positioning using advanced software. Support full case preparation, including instrumentation checks, equipment setup, and OR readiness. Troubleshoot technical issues confidently and efficiently in the operating room. Learn and support workflow for daily account