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CVS Health

Runs pharmacies, health plans and clinics

Vice President, Chief Medical Officer

Physicians & SurgeonsConfirmed live in the last 24 hours
Full-timeIndiana, USA

About the Job

Requirements

  • An M.D. or D.O. degree is required, and board certification is required; Internal Medicine or Family Medicine is preferred.
  • The candidate must have active clinical experience and be willing to maintain an ongoing primary care practice within Oak Street Health.
  • The candidate must reside within driving distance of an Oak Street Health clinic in the region and maintain a consistent weekly clinic presence.
  • The candidate must have significant progressive clinical leadership experience, ideally at Medical Director, Regional Medical Director, Chief Medical Officer, or comparable level.
  • The candidate must have experience leading and developing physicians, advanced practice providers, and clinical leaders across multiple sites or markets.
  • The candidate must have experience managing a sizable provider organization, ideally with responsibility for 20 or more providers.
  • The candidate must have strong experience with value-based care, managed care, and/or population health.
  • The candidate must understand the relationship between clinical outcomes, utilization, medical cost, quality, and reimbursement within value-based care.
  • The candidate must have experience using data and performance metrics to improve quality, clinical outcomes, utilization, patient experience, and cost.
  • The candidate must demonstrate commitment to patient safety, including experience leading safety-event reviews, root-cause analysis, or quality-improvement efforts.
  • The candidate must understand outpatient primary-care operations and the practical realities of leading clinic-based teams.
  • The candidate must be able to partner effectively with business and operational leaders and balance clinical priorities with broader organizational objectives.
  • The candidate must have communication, influencing, coaching, and change-management capabilities.
  • The candidate must be able to operate effectively in a dynamic environment with accountability and ambiguity.
  • The candidate must demonstrate commitment to improving care for older adults and underserved patient populations and align with CVS Health values.

Responsibilities

  • Provide senior clinical leadership across the Indiana, Kentucky, and Ohio markets.
  • Establish expectations for clinical excellence and drive consistent execution of the care model across the region.
  • Lead performance across clinical and operational measures, including quality, patient outcomes, hospital utilization, medical cost, documentation, patient safety, patient experience, and clinician experience.
  • Use clinical, operational, and financial data to identify performance opportunities and improve care delivery.
  • Partner with Population Health, Quality, Care Management, and operational leaders to improve patient outcomes while managing utilization and medical cost.
  • Support achievement of Medicare quality objectives and other key clinical and organizational performance measures.
  • Ensure clinical governance, documentation practices, regulatory compliance, and adherence to clinical policies and standards.
  • Lead, coach, and develop Medical Directors, building clinical leadership and accountability across the region.
  • Advise Medical Directors on complex clinical, provider, and operational matters.
  • Promote patient safety by coaching medical directors to identify, report, and learn from safety events and near misses and build safe-care practices in every clinic.
  • Establish performance expectations and provide timely, constructive coaching and feedback.
  • Conduct regular performance discussions and support the professional development of Medical Directors and other clinical leaders.
  • Ensure Medical Directors use quality dashboards, clinical data, and performance tools to identify opportunities and improve patient outcomes.
  • Partner with operational and talent teams to ensure clinics are appropriately staffed and supported.
  • Participate in recruiting, selecting, onboarding, developing, and retaining physicians, advanced practice providers, and clinical leaders.
  • Identify and develop high-potential clinical leaders.
  • Build leadership capability in problem solving, communication, coaching, conflict resolution, and change leadership.
  • Strengthen Medical Directors’ understanding of value-based care, population health, clinical operations, and performance management.
  • Create an environment of accountability, collaboration, and continuous improvement.
  • Partner with internal clinical education and provider-support teams to advance leadership-development programs and resources.
  • Champion the value-based care model and ensure consistent execution across the region.
  • Partner with Population Health and Quality teams to strengthen the clinical care model.
  • Drive performance related to quality, utilization, medical cost, documentation, and appropriate reimbursement.
  • Help Medical Directors and providers understand value-based care’s clinical and economic drivers and apply them in day-to-day practice.
  • Advance strategies to keep patients healthy, appropriately manage utilization, and reduce avoidable hospitalizations.
  • Support payer-provider collaboration and other partnerships that advance clinical outcomes and sustainable performance.
  • Serve as the senior clinical partner to the Division President, advancing the region’s clinical, operational, and organizational performance.
  • Participate in regional business planning and provide clinical perspective on operational priorities, resource allocation, and performance opportunities.
  • Provide clinical leadership and strategic input across Medical Management, Care Management, Quality Improvement, Utilization Management, Network Management, Risk Adjustment, and clinical compliance initiatives.
  • Represent Oak Street Health with external stakeholders, including health plans, providers, and other strategic partners, as appropriate.
  • Provide feedback and thought leadership to enterprise clinical teams to evolve and strengthen the care model.
  • Provide primary care to Oak Street Health patients approximately one to two days per week.
  • Remain visible and engaged with providers and clinic teams throughout the region.
  • Use firsthand clinical experience to inform leadership decisions and identify opportunities to improve provider and patient experience.
  • Travel regularly among Oak Street Health clinics throughout the region.

Desired Qualifications

  • Approximately 10 or more years of progressive clinical and physician leadership experience.
  • Recent outpatient primary-care experience.
  • Experience leading clinical operations across multiple clinics, markets, or geographies.
  • Deep experience caring for Medicare populations and managing clinical performance in a value-based environment.
  • Experience with risk adjustment, documentation, utilization management, quality improvement, and medical-cost management.

About the Company

CVS Health

Runs pharmacies, health plans and clinics

CVS Health runs pharmacies, health insurance plans and medical clinics for individuals, employers and government programs across the United States. Its businesses include CVS Pharmacy, the Aetna insurer and Caremark, which manages prescription coverage and negotiates drug prices for health plans. Patients fill prescriptions in stores or by mail and receive care through walk-in clinics, primary care centers and home visits. The company earns money from prescription sales, insurance premiums, plan administration fees and clinical services, combining coverage with places to obtain treatment. Its first store opened in 1963, and its headquarters are in Woonsocket, Rhode Island.

Company size
10,001+
Company stage
IPO
Headquarters
Woonsocket, Rhode Island
Founded
1963

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