[Hiring] Medical Director of Clinical Informatics @CVS Health

Role Description

The Medical Director of Informatics is a clinical leader who supports clinical analytics and clinical informatics needs within PBM product and CVS Healthspire Payor Solutions across multiple care management and digital health products. This role partners with Product, Technology, Data/Analytics, and Clinical Governance stakeholders to ensure that clinical guidance and analytic insights are evidence-based, scalable, and operationalized through clear clinical requirements, robust measurement, and disciplined content/logic governance. This is not a utilization management or direct patient care delivery role; it is a product- and data-facing physician leadership role focused on clinical informatics, analytics oversight, and clinical governance.

• Serve as the clinical informatics subject matter expert for product teams by translating clinical concepts and evidence into implementable requirements (e.g., clinical definitions, decision logic, care pathway content, and data requirements).
• Establish and maintain clinical data definitions and clinical “north star” measures (outcomes, quality, safety) used across products—ensuring consistency across teams and releases.
• Review and approve clinical-facing content and logic for accuracy, safety, and evidence alignment (including change control, documentation, and auditability).
• Partner with Data/Analytics and Data Science teams to define analytical approaches that support strategic initiatives, trend detection, and measurable product impact (quality, outcomes, engagement, experience, and cost-related measures as appropriate).
• Support development of evidence generation outputs including white papers and manuscripts through direct statistical analysis and writing.
• Ensure analytics and clinical logic are clinically interpretable and responsibly communicated to stakeholders (clear caveats, intended use, limitations, and appropriate escalation guidance).

Qualifications

• Current Board Certification in Clinical Informatics
• Active, unrestricted medical license (state unspecified) with ability to obtain additional licensure if required by business needs.
• At least 2 years of demonstrated clinical informatics experience (e.g., building/operationalizing clinical decision logic, clinical data definitions, clinical content governance, interoperability-informed workflows, or related informatics leadership).
• At least 2 years of experience analyzing claims data through SQL.
• Candidate must be willing to work Eastern Time Zone business hours.

Requirements

• Experience in payor, population health, or enterprise care management environments (health plan and/or health system).
• Experience with outcomes measurement frameworks, clinical quality measurement, and population health program evaluation.
• Prior experience with SQL/R/Python and causal inference techniques.
• Prior experience developing white papers or publications.

Education

• M.D. or D.O. required.

Pay Range

The typical pay range for this role is: $174,070.00 - $374,920.00. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.

Benefits

• Comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families.
• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.