Chief Medical Officer, CVS Health

CVS Health

Location:
United States, Work At Home

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

184112.00 - 396550.00 USD / Year

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Job Description:

The ABHMO CMO will serve as a strategic and operational partner to the Medicaid Health Plan executive team in driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management. Responsible for cost containment outcomes and defined KPI's and overall growth and success of the plan through effective clinical leadership.

Job Responsibility:

Serve as a strategic and operational partner to the Medicaid Health Plan CEO, COO, CFO and other executive team members
Develop, implement, support, and promote population health strategies
Review, interpret and analyze data and trends at State level in: UM, CM, Pop Health and Health Equity
Serve as clinical executive leader for State regulators, providers, and other key partners
Have oversight of the design, development, and deployment of Care Models
Ensure clinical programs are compliant with all national and state regulations
Oversight of the Quality Assessment and Performance Improvement Program (QAPI)
Collaborate with the Medical Management stakeholders both internally and externally
Building and inspiring a culture of continuous improvement for better quality of care
Supporting the UM team in predetermination reviews
Serving as the clinical liaison to network providers and facilities
Partnering with Plan leaders, Network, and provider relations teams
Exhibiting strong business acumen
Serving as an externally facing brand ambassador
Collaborating and partnering with Social Impact teams
Collaborating with and provide subject matter expertise to the product team

Requirements:

At least five years’ experience in the health care delivery system e.g., clinical practice and health care industry
At least three years of experience Medicaid and managed care experience
Must be a physician with a current, unencumbered license through the state of Missouri
Resident of Missouri
Board Certification in a recognized specialty including post-graduate direct patient care experience
MD or DO Required Board Certification required in an ABMS or AOA recognized specialty

Nice to have:

Demonstrated experience in population health management and Managed Care
Passion and ability to influence and drive better outcomes in healthcare delivery
Understanding of Value Based Contracting/Accountable Care and how this relates to improving the quality of care for our members through collaboration with the provider community

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
No-cost wellness screenings
Tobacco cessation and weight management programs
Confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
August 27, 2025

Expiration:
August 29, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Chief Medical Officer