Senior Network Medical Director

CVS Health

Senior Network Medical Director guiding provider performance for CVS Health’s Southeast healthcare networks. Driving cost, quality, and member-experience outcomes through value-based provider partnerships.

Posted 8/11/2026full-timeRemote • Connecticut • 🇺🇸 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 clinical leadership and provider engagement, 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 ExperienceQuality Improvement

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical LeadershipProvider Performance EvaluationCost ManagementQuality AssessmentData ScienceMedical Informatics

Soft Skills

Effective EngagementAgilityAdaptabilityCollaboration

Certifications & Qualifications

Active Medical LicenseMaintenance Of Certification

Industry Keywords

Healthcare ProvidersSoutheast RegionTotal Cost Of CareMA Stars MeasuresFederal Regulatory Requirements

About the role

Key responsibilities & impact

Serve as primary clinical leader for relationships with healthcare providers in the Southeast 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 strategy for engagement 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 on the leadership team of the medical affairs network team
Collaboratively improve provider performance across all lines of business
Ensure timely execution of deliverables in accordance with due dates and Federal/state regulatory requirements
Partner with providers from a clinical perspective 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 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
MBA or MPH preferred
Medical informatics and/or data science experience preferred
Location in Southeast US preferred

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program in addition to the base pay range
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 the physical, emotional, and financial well-being of colleagues and their families, based on eligibility