Medical Director, Population Health Job at CVS Health (Chicago)

Associate Medical Director, Pediatrics

Provide medical leadership in pediatrics and collaborative clinical support to a...

Location

United States

Salary:

180000.00 - 200000.00 USD / Year

Pomelo Care

Expiration Date

Until further notice

Requirements

Medical degree from an accredited US medical school
Successful completion of an accredited US residency program in a directly related field (Pediatrics or Family Medicine with substantial experience with pediatrics)
A minimum of three years of post-residency experience in pediatric primary care and/or pediatric urgent care
Active, unrestricted license to practice in any US state and willingness to obtain licenses in all US states via the Interstate Medical Licensure Compact
Experience leading successful teams, with track record of outstanding collaboration and teamwork
A sense of urgency to improve clinical outcomes coupled with exceptional organization and attention to detail
A growth mindset with the ability to approach process change and ambiguous situations with enthusiasm, creativity, and accountability
Facility using multiple tech platforms, with an eagerness for advising about platform improvements and adapting to new systems
Eager to thrive in a fast-paced, metric-driven environment
Phenomenal interpersonal and communication skills

Job Responsibility

Provide collaborative physician supervision and consultation for an experienced team of APPs, nursing leadership, and RNs in the field of pediatrics including conducting quality assurance review for Pediatric APPs
Serve as the pediatric medical director in regional cross-disciplinary team-based care coordination meetings and work with in-house clinical specialties to develop holistic individualized care plans
Own clinical content development for our Pediatrics program, serving as the subject matter expert across internal clinician-facing protocols and patient-facing content
Support the recruitment and training of pediatric medical providers
Help drive our population health programs toward healthier outcomes by partnering closely with Market Operations leads and OB Regional Medical Director to identify gaps and improvement opportunities
Identify and implement interventions to address cross-disciplinary or practice performance improvement needs
Facilitate and lead cross-disciplinary review sessions for episodic events and pediatric case reviews
Engage directly in patient care as a Pomelo provider
Actively participate in on-call schedules including overnights, weekends, and holidays

What we offer

Competitive healthcare benefits
Generous equity compensation
Generous PTO policy

Fulltime

Senior Medical Director

The Senior Medical Director will join Oak Street Health at a critical time in th...

Location

United States , Indianapolis

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

July 02, 2026

Requirements

Board certified in Internal Medicine or Family Medicine
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
Extensive experience in clinical leadership roles
Experience with managed care or value-based practice
Familiarity with payer-provider collaboration
Experience using a metrics-driven approach to analyze cost, quality, and satisfaction data
Ability to remain calm in stressful situations
US work authorization

Job Responsibility

Mentoring health center Medical Directors
Supervising center medical directors
Providing constructive feedback to providers
Helping medical directors master data-driven tools
Reviewing quality dashboards
Interviewing, hiring, and retaining providers
Developing a pipeline of internal clinical leaders
Participating in organizational-wide projects and committees
Representing Oak Street Health to external partners
Supervising interdisciplinary Complex Care Teams

What we offer

Competitive benefits including paid vacation and sick time
Generous 401K match with immediate vesting
Health benefits
Affordable medical plan options
Employee stock purchase plan
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave

Fulltime

Senior Medical Director

The Senior Medical Director will join Oak Street Health at a critical time in th...

Location

United States , Des Moines

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

March 17, 2027

Requirements

M.D. / D.O. / DNP graduates, 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
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
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 processes
Self aware and confident in their leadership skills
Understand the basics of managed care and recognize that population health and a focus on smart allocation of scarce resources can lead to high value care

Job Responsibility

Medical Director Management & Coaching: The Senior Medical Director will lead and mentor the health center Medical Directors in his/her region
Physician Leadership Development: The Senior Medical Director will develop physician leadership in providers throughout the market
Support Organizational Strategy: 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
Population Health: As a part of the Population Health program at Oak Street Health, the Senior Medical Director is responsible for supervising the interdisciplinary Complex Care Teams and the Transitions Nurses
The Senior Medical Director will practice primary care in our clinics 2 1/2 days per week alongside his/her provider colleagues

What we offer

Collaborative and energetic culture
Fast-paced and innovative environment
Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Senior Medical Director

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Dallas

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

February 13, 2027

Requirements

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
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
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

Job Responsibility

Medical Director Management & Coaching: lead and mentor the health center Medical Directors
Supervising center medical directors and ensuring their priorities are in line with those of the organization
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
Interviewing, hiring, and retaining providers throughout the region
Physician Leadership Development: develop physician leadership in providers throughout the market
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

What we offer

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including 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

Fulltime

Medical Director of Population Health

The Medical Director of Population Health plays a strategic role in improving ut...

Location

United States , Macon

Salary:

Not provided

Advocate Health Care

Expiration Date

Until further notice

Requirements

License/Registration/Certification: Appropriate State Physician License
Certification: Appropriate board certification by American Board of Medical Specialties
Minimum of 7 years experience in the clinical practice of medicine
Minimum of 3 years experience in medical management or academic medicine
Exhibits a high level of professionalism, personal integrity, fortitude and approach to problem-solving
Models exemplar leadership behaviors
Possesses exceptional written and verbal communication and interpersonal skills
Committed to service of patients, colleagues and team members
Demonstrates strong leadership and effective team-building skills
Skilled in the ability to conduct difficult conversations, while effectively coaching and mentoring colleagues

Job Responsibility

Provide leadership and mentorship to Physician members in achieving High Performing Network priorities of quality, efficiency and engagement
Collaborate with EPH teams on quality, CMD, utilization and other performance initiatives
Maintain a close working relationship with stakeholders including aligned PCPs and specialists, SE quality team, medical group leadership including specialty medical directors, site medical directors, primary care service line
Attend, and lead when called on, population health and CGHN meetings concerning quality, utilization, finance, performance, and any administrative meetings as necessary
Identify and develop action plans to address performance improvement gaps within CGHN
Actively engage in financial review and planning for the CGHN finances and value-based lives membership
Identify potential new leaders and collaborate with CGHN leadership on succession planning for CGHN Board and other CGHN committees and activities
The Clinical leader supporting different population health teams supporting CIN physicians within CGHN

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Behavioral Health Medical Director

The Behavioral Health Medical Administrator (Medical Director) directs, leads, a...

Location

United States , Phoenix

Salary:

Not provided

Blue Cross Blue Shield of Arizona

Expiration Date

Until further notice

Requirements

3 years of experience in a clinical setting
1 year of experience in physician leadership role, including quality review, utilization review, population health and other managed care functions
Medical Degree
Active, current, and unrestricted license to practice medicine in the State of Arizona (a state in the United States)
Board Certification in general psychiatry, or adult and child/adolescent psychiatry, through the American Board of Psychiatry and Neurology
Requires knowledge and skills in state (Arizona) and federal behavioral health regulations, requirements for publicly funded services, delivery, operations, and licensure.
Knowledge of managed care concepts and practices
and emerging and best practices for adult & children’s integrated care programs.
Ability to use electronic word processing, email, and electronic database resources.
Excellent customer service and oral/written communication skills

Job Responsibility

Directs, leads, and provides professional oversight for medical management and population health activities related to behavioral health utilization management, case and care management, disease management, performance improvement, and quality management activities.
Supports collaborative relationships with physicians and hospitals to achieve mutually acceptable business goals in compliance with AHCCCS and CMS regulations.
Provides physician leadership and medical oversight in the design, implementation and review of clinical services, best practices, care management, medical management and quality management.
Serves as liaison between the Medicaid Business Segment and medical and behavioral health practitioners at stakeholder and provider agencies.
Participates in aggregate and member-level clinical analyses for quality management, quality of care concerns, peer review, medical management, and utilization review processes.
Reviews and authorizes requests by providers and treatment coordinators for services or programs requiring prior authorization.
Participates in the design and implementation of best practices, clinical standards, protocols, and treatment guidelines.
Participates in credentialing, re-credentialing and competency processes for providers.
Assists care managers with care management of high risk/high-cost members.
Participates as a member or chair of internal and external committees.

Parttime

Senior Medical Director

We’re building a world of health around every individual — shaping a more connec...

Location

United States , Chef Menteur

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

February 24, 2027

Requirements

M.D. / D.O. / DNP graduates, 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
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 processes
Self aware and confident in their leadership skills and eager to share those with a fast growing, passionate team on the leading edge of healthcare innovation
Understand the basics of managed care and recognize that population health and a focus on smart allocation of scarce resources can lead to high value care (better care, lower cost)

Job Responsibility

Lead provider teams in the local market
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
Practice primary care in our clinics 2 1/2 days per week
Report to the Executive Medical Director for the region
Supervising center medical directors and ensuring their priorities are in line with those of the organization
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

What we offer

Collaborative and energetic culture
Fast-paced and innovative environment
Competitive benefits including paid vacation and sick time, generous 401K match with immediate vesting, and health benefits
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility

Fulltime

Population Health Director

At Oak Street, Population Health drives both our clinical and economic model and...

Location

United States , Chicago

Salary:

100000.00 - 231540.00 USD / Year

CVS Health

Expiration Date

August 28, 2026

Requirements

5+ years of applicable experience in healthcare / population health / working with healthcare providers
or other similar fields
Excellent communication skills
Ability to build the trust with a wide range of stakeholders and hold teams accountable
Demonstrated history of strong leadership and data driven decision making
Incredible level of organization, initiative, and collaboration
Excellent analytical skills with ability to develop business cases, ROI analysis, and financial analysis
Expert in Excel, Google Apps, project management
Quick learner comfortable with a high level of ambiguity
Bachelor's degree required

Job Responsibility

Own strategic planning, execution and the ongoing refinement of Population Health programs in the respective region
Work side by side with regional leaders and center care teams to support the Oak Street care model including but not limited to clinical documentation excellence, workflow optimization, and avoidable admission prevention
Develop creative solutions to support accurate clinical documentation and avoidable admission prevention strategies that are scalable across multiple centers
Work closely with functional leaders in the central office to develop strategy and program design for accurate clinical documentation and medical cost / admission efforts
Analyze data to monitor performance, identify opportunities, and drive results toward population health execution in the region
Be accountable for medical scribe cohort recruitment, retention, performance and engagement in the respective region to ensure clinical documentation excellence
Be accountable to key population health metrics including but not limited to quality measures, utilization measures, and financial measures
Other duties, as assigned

What we offer

Mission-focused career impacting change and measurably improving health outcomes for medicare patients
Paid vacation, sick time, and investment/retirement 401K match options
Health insurance, vision, and dental benefits
Opportunities for leadership development and continuing education stipends
New centers and flexible work environments
Opportunities for high levels of responsibility and rapid advancement

Fulltime

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Medical Director, Population Health

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