Senior Medical Director

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. And we do it all with heart, each and every day.

The Senior Medical Director will join the team at a critical time in the history of our company and of primary care. The opportunity for impact is large and growing, with our company leading the transition from fee-for-service to value-based care.

The Senior Medical Director will be responsible for leading our provider teams in the local market. The Senior Medical Director will partner with the Regional Vice President to achieve operational and clinical excellence and world class performance in hospital admissions, quality, patient satisfaction, clinician satisfaction, and medical cost. To offer context for the practice and to remain close to our patients, the Senior Medical Director will practice primary care in our clinics 2 1/2 days per week alongside his/her provider colleagues.

The Senior Medical Director will report to the Executive Medical Director for the region. Additionally, we see this leader as a key thought partner in providing feedback on our clinical model.

• Supervising center medical directors and ensuring their priorities are in line with those of the organization. This includes but is not limited to supporting the medical directors as they manage their teams, being the "go-to" for all questions, and communicating updates and business priorities.
• Assisting in offering constructive feedback to providers to improve performance.
• Helping medical directors master data-driven tools and practices required to keep patients well and out of the hospital.
• Reviewing quality dashboards with medical directors, and implementing initiatives to improve quality outcomes.
• Providing managed care perspective to medical directors as they lead their teams.
• Understanding and communicating provider performance/compensation plans.

The Senior Medical Director will be responsible for interviewing, hiring, and retaining providers throughout the region.

• Developing a pipeline of internal clinical leaders who are skilled in problem solving, communication, conflict resolution, value-based care delivery, and collaboration with clinicians and executives.

The Senior Medical Director's duties are primarily focused on the management of his/her market, but in addition, the Senior Medical Director will have input into a variety of organizational-wide projects, and will join committees for clinical programs to support the enhancement of the care model, including:

• Medical Management
• Care Management
• Quality Improvement
• Utilization Management
• Network Management
• Health Plan Management
• Documentation/Risk Adjustment
• Clinical Compliance & Policy Development

This includes representing the company to external partners (e.g., payers, providers) and creating relationships and partnerships that support our mission and our economics.

As a part of the Population Health program, the Senior Medical Director is responsible for:

• Supervising the interdisciplinary Complex Care Teams focused on our highest need patients in the market.
• Supervising the Transitions Nurses, who track all hospitalized patients and coordinate post-discharge care.
• Partnering with the population health and quality teams to advance our care model.
• Participating in documentation and coding activities, including provider education and review sessions.

Other duties, as assigned.

M.D. / D.O. / DNP graduates with license in good standing with no restrictions, Physicians will be board certified in Internal Medicine or Family Medicine. DNPs should be certified in a primary care domain.

Board certified in Internal Medicine or Family Medicine.

Fellowship training in Geriatrics and/or other professional degrees (e.g., M.B.A., J.D., M.P.H.) welcome but certainly not required.

Typically 10+ years experience;
Minimum of 5 years of experience in outpatient practice.

Minimum of 3 years of experience in a physician management role or role as medical director, managing a medical group of 20 or more providers.

Extensive experience in clinical leadership roles, leading and coaching physicians to be the best they can be for their patients and their colleagues.

Experience with managed care and/or value-based practice and familiarity with payer-provider collaboration.

Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data to drive clinical strategy and program redesign.

Excited by developing and implementing new…