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 Southeast Region.

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

• Step in for other regions as necessary during the team's expansion.

• Partner with Network, analytics, and actuarial teams to assess provider performance concerning total cost of care, quality, and experience.

• Develop strategies for provider engagement, including decisions on expanding or reducing relationships.

• Take responsibility for the performance of provider groups concerning cost, quality, and experience, including MA Stars measures.

• Engage in the leadership team of the medical affairs network team.

• Work together to enhance provider performance across all lines of business.

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

• Collaborate with providers from a clinical standpoint to facilitate their success on behalf of members.

⛳️ Requirements

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

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

• Board Certification, including Maintenance of Certification in specialty from the American Board of Medical Specialties.

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

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

• Ability to operate effectively in a highly matrixed organization/environment.

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

• Ability to remain agile, manage multiple priorities, and embrace change enthusiastically.

• Capability to work virtually with occasional travel for in-person meetings.

• MBA or MPH is preferred.

• Experience in medical informatics and/or data science is preferred.

• Preferred location is in the Southeast US.

🏝️ Benefits

• CVS Health bonus, commission, or short-term incentive program in addition to the base pay range.

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

• Medical coverage.

• Dental coverage.

• Vision coverage.

• Paid time off.

• Retirement savings options.

• Wellness programs.

• Additional resources supporting the physical, emotional, and financial well-being of colleagues and their families, based on eligibility.