Senior Network Medical Director

CVS Health

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

Posted 11/10/2026full-timeRemote • Connecticut • United StatesSenior💰 $184,112 - $396,550 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in clinical leadership and provider engagement strategies, with a strong focus on managed care, value-based care, and quality improvement. Holds an MD or DO with board certification and a proven track record in evaluating provider performance and ensuring compliance with regulatory requirements.

Highest-signal resume keywords

MD Or DOBoard CertificationManaged Care ExperienceValue-Based Care ExpertiseQuality 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 AssessmentEngagement Strategy DevelopmentRegulatory Compliance

Soft Skills

Effective CommunicationAgilityAdaptabilityCollaborationLeadership

Certifications & Qualifications

Active Medical LicenseMaintenance Of Certification

Industry Keywords

Healthcare ProvidersNortheast RegionClinical SpecialistsMatrixed OrganizationMA Stars Measures

About the role

Key responsibilities & impact

Serve as primary clinical leader for relationships with healthcare providers in the Northeast 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
Participate in the leadership team of the medical affairs network team
Collaborate 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