Executive Medical Director, Value-Based Care

CVS Health

Executive Medical Director leading CVS Health’s value-based provider strategy. Driving cost, quality, and member-experience performance across advanced primary, specialty, and complex care networks.

Posted 8/11/2026full-timeRemote • Connecticut • 🇺🇸 United StatesLead💰 $227,630 - $490,280 per yearWebsite

Core Competencies

Role fit

Core Competencies

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

Demonstrates expertise in clinical leadership, value-based care delivery, and managed care, with a strong focus on provider performance and regulatory compliance. Capable of engaging diverse stakeholders and managing complex relationships to enhance quality and cost-effectiveness in healthcare.

Highest-signal resume keywords

MD Or DOBoard CertificationValue-Based Care DeliveryManaged Care ExperienceMedical Informatics

ATS Keywords

Tailor your resume

Applicant Tracking System Keywords

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

Hard Skills

Clinical LeadershipCost EvaluationQuality Performance AnalysisEngagement Strategy DevelopmentProvider Relationship Management

Soft Skills

Effective CommunicationAdaptabilityCollaborationPriority Management

Tools & Technologies

Data ScienceMedical Informatics

Certifications & Qualifications

Active Medical LicenseBoard Certification

Industry Keywords

Value-Based Specialty CareComplex Care ProvidersMA Stars MeasuresFederal Regulatory RequirementsMatrixed Organization

About the role

Key responsibilities & impact

Serve as primary clinical leader for relationships with advanced primary care, value-based specialty care, and complex care providers
Lead assigned senior clinical specialists
Partner with Network value-based contracting, analytics, and actuarial teams to evaluate total cost of care, quality, and experience performance
Shape engagement strategy with advanced primary care, value-based specialty care, and complex care providers
Determine where to expand or contract provider relationships
Take accountability for provider-group performance on cost, quality, and experience, including MA Stars measures
Collaborate as part of the Medical Affairs Network leadership team to improve provider performance across all lines of business
Ensure timely execution of deliverables according to due dates and Federal/state regulatory requirements
Partner with providers clinically to support their success on behalf of members

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 an American Board of Medical Specialties specialty
5–10 years of work experience in managed care, value-based care, and quality
5 years of work experience in value-based care delivery
Ability to work effectively in a highly matrixed organization/environment
Ability to engage physicians, vendors, community partners, administrative leaders, clinical leaders, and staff
Ability to manage multiple priorities and adapt to change
Ability to work virtually with occasional travel for in-person meetings
MBA or MPH preferred
Medical informatics and/or data science experience preferred

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