Lead Senior Medical Director – DSNP

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🕒 5 days ago

🦌 Connecticut, Rhode Island – Remote

🦌 Connecticut – Remote ⚓ Rhode Island – Remote

💵 $184.1k - $396.6k / year

⏰ Full Time

🟠 Senior

👨‍⚕️ Medical Director

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Provide strategic leadership and clinical oversight for complex populations—primarily DSNP/FIDE. • Lead a team of Senior Medical Directors/Medical Directors within the Center of Excellence (COE) Duals. • Drive medical management programs and policies that improve quality, cost, and outcomes across the continuum of care. • Serve as a clinical and business liaison to internal teams, network providers, and state agencies. • Ensure compliance, operational excellence, and superior member experience.

🎯 Requirements

• MD or DO degree. • Current, active, unencumbered, unrestricted physician licenses in any state • Current and active Board Certification in an American Board of Medical Specialties discipline • 5+ years post-residency clinical practice, including complex population experience (minimum three years of specialty training). • 3+ years of managed care industry experience. • Ability to travel 10% • Proven ability to develop relationships with network/community physicians and providers.

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families