Senior Network Medical Director

CVS Health

. Serve as primary clinical leader for relationships with healthcare providers in the Central Region .

Posted 10/16/2026full-timeRemote • Illinois • United StatesSenior💰 $184,112 - $396,550 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in managed care and value-based care, with a strong focus on provider performance, quality metrics, and regulatory compliance. Proven ability to lead clinical initiatives and engage effectively with diverse stakeholders in a matrixed environment.

Highest-signal resume keywords

MD Or DOBoard CertificationManaged Care ExperienceValue-Based Care ExperienceQuality Improvement

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Provider Performance EvaluationCost ManagementQuality Metrics AnalysisEngagement Strategy DevelopmentRegulatory Compliance

Soft Skills

Effective CommunicationAgilityMulti-Priority ManagementStakeholder EngagementTeam Collaboration

Certifications & Qualifications

Active Medical LicenseMaintenance Of Certification

Industry Keywords

Healthcare ProvidersClinical LeadershipMedical AffairsMA Stars MeasuresMatrixed Organization

About the role

Key responsibilities & impact

Serve as primary clinical leader for relationships with healthcare providers in the Central Region
Work closely with and provide guidance for senior clinical specialists
Fill in for other regions as needed while the team is growing
Partner with Network, analytics and actuarial teams to evaluate provider performance on total cost of care, quality, and experience
Shape engagement strategy with providers, including where to expand or contract relationships
Take accountability for provider-group performance on cost, quality, and experience, including MA Stars measures
Collaboratively work as part of the medical affairs network leadership team to improve provider performance across all lines of business
Ensure timely execution of deliverables in accordance with due dates and Federal/state regulatory requirements

Requirements

What you’ll need

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

Benefits

Comp & perks

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