Senior Network MD

We're building a world of health around every individual , shaping a more connected, convenient, and compassionate health experience.

At CVS Health, we're leading the industry in service of our members, providers, and plan sponsors across Medicare, Medicaid, and Commercial through Aetna, a CVS Health company.

Job Purpose & Summary

We're seeking a Senior Network MD to 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 Northeast Region.

Primary Job Duties & Responsibilities

• Serve as primary clinical leader for relationships with healthcare providers in the Northeast Region, working closely with senior clinical specialists.
• Partner with Network, analytics, and actuarial teams to evaluate performance on total cost of care, quality, and experience for these providers.
• Be a proactive strategic leader in shaping our strategy for engagement with these types of providers.
• Take accountability for performance of these groups on cost, quality, and experience.
• Be a part of the leadership team of the medical affairs network team, collaboratively working toward improving provider performance across all lines of business.
• Ensure timely execution of all deliverables in accordance with due dates and Federal/state regulatory requirements.

Required Experience & 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 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.

Preferred Experience & Qualifications

• MBA or MPH.
• Medical informatics and/or data science experience.
• Location in Northeastern US.

Pay Range

$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.

Benefits

We offer a comprehensive and competitive mix of pay and benefits, including medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.