Executive Medical Director, Value-Based Care

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🔥 0 minutes ago

🦌 Connecticut – Remote

🦌 Connecticut – Remote

💵 $227.6k - $490.3k / year

⏰ Full Time

🔴 Lead

👨‍⚕️ Medical Director

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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

• Serve as primary clinical leader for relationships with advanced primary care, value-based specialty care, and complex care providers • Lead assigned senior clinical specialists • Partner with Network value-based contracting, analytics, and actuarial teams to evaluate total cost of care, quality, and experience performance • Shape engagement strategy with advanced primary care, value-based specialty care, and complex care providers • Determine where to expand or contract provider relationships • Take accountability for provider-group performance on cost, quality, and experience, including MA Stars measures • Collaborate as part of the Medical Affairs Network leadership team to improve provider performance across all lines of business • Ensure timely execution of deliverables according to due dates and Federal/state regulatory requirements • Partner with providers clinically to support 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 encumbrances • Board Certification including Maintenance of Certification in an American Board of Medical Specialties specialty • 5–10 years of work experience in managed care, value-based care, and quality • 5 years of work experience in value-based care delivery • Ability to work effectively in a highly matrixed organization/environment • Ability to engage physicians, vendors, community partners, administrative leaders, clinical leaders, and staff • Ability to manage multiple priorities and adapt to change • Ability to work virtually with occasional travel for in-person meetings • MBA or MPH preferred • Medical informatics and/or data science experience preferred

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being