[Hiring] Senior Network Medical Director @CVS Health

Role Description

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels, and more than 300,000 purpose-driven colleagues – caring for people where, when, and how they choose in a way that is uniquely more connected, more convenient, and more compassionate.

Aetna, a CVS Health company, is leading the industry in service of our members, providers, and plan sponsors across Medicare, Medicaid, and Commercial. Medical Affairs is a clinically focused center of excellence working in close collaboration with all Aetna business units and cross-enterprise partners, to ensure high value care and best-in-class operating and clinical models. We collaborate with members, providers, and community organizations in pursuit of quality solutions that address the full continuum of member health care and social determinant needs.

We are in search of a Senior Network MD who will serve as an enterprise clinical leader in shaping and executing our approach to driving performance on cost of care, quality, and member experience with our network of healthcare providers in the Central Region.

• Adapt the corporate network strategy to the needs and capabilities of this region.
• Be accountable for outcome performance in this region in close collaboration with the Network regional team.
• Determine what partnerships to start, continue, or stop.
• Evaluate provider performance and partner with those providers from a clinical perspective to support their success on behalf of our members.

Join us in this exciting opportunity as we seek to continually improve our approach to partnership with value-based healthcare providers at Aetna.

Qualifications

• 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 specialty of American Board of Medical Specialties
• 5 years work experience in the areas of managed care, value-based care, and quality
• 3 years work experience in value-based care and quality
• Ability to work effectively in a highly matrixed organization / environment
• Ability to engage at all levels, including physicians, vendors, community partners, administrative leaders, clinical leaders, and staff
• Ability to be agile, manage multiple priorities, and adapt to change with enthusiasm
• Ability to work virtually with occasional travel for in person meetings

Requirements

• MBA or MPH (preferred)
• Medical informatics and/or data science experience (preferred)
• Location in Central US (preferred)

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

Pay Range

The typical pay range for this role is: $184,112.00 - $396,550.00. 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.