Senior Network Medical Director

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Act as the primary clinical leader for managing relationships with healthcare providers in the Northeast Region.

• Collaborate closely with and offer guidance to senior clinical specialists.

• Step in for other regions as necessary while the team expands.

• Work alongside Network, analytics, and actuarial teams to assess provider performance regarding total cost of care, quality, and experience.

• Develop engagement strategies with providers, determining areas for expansion or contraction of relationships.

• Take responsibility for provider-group performance on cost, quality, and experience metrics, including MA Stars measures.

• Be a part of the leadership team for the medical affairs network team.

• Collaborate to enhance provider performance across all business lines.

• Ensure the timely completion of deliverables in line with deadlines and Federal/state regulatory obligations.

⛳️ Requirements

• MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine) degree.

• Active and current medical license (MD or DO) without any restrictions.

• Board Certification, including Maintenance of Certification, in a specialty recognized by the American Board of Medical Specialties.

• A minimum of 5 years of experience in managed care, value-based care, and quality.

• At least 3 years of experience specifically in value-based care and quality.

• Proven ability to operate effectively within a highly matrixed organization or environment.

• Capacity to engage with all levels, including physicians, vendors, community partners, administrative leaders, clinical leaders, and staff.

• Flexibility to manage multiple priorities and adapt to changes with enthusiasm.

• Ability to work remotely with occasional travel required for in-person meetings.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program.

• Award target in the company's equity award program.

• Comprehensive medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting physical, emotional, and financial well-being.