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

Medical Director - Population Health

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

Location

United States , Springfield

Salary:

174070.00 - 374920.00 USD / Year

CVS Health

Expiration Date

September 30, 2026

Requirements

M.D., D.O., APN, or PA with active clinical license and board certification in Internal Medicine, Family Medicine, Preventive Medicine, or Geriatrics
Demonstrated experience leading programs or teams focused on complex or high-risk patient populations
Strong familiarity with managed care, value-based reimbursement, and population health management
Proven ability to analyze and apply data to guide program improvement and measure clinical outcomes
Exceptional collaboration and communication skills, with the ability to influence across disciplines and functions
Advanced training or degrees (e.g., Fellowship, MPH, MBA) and/or experience in management consulting preferred

Job Responsibility

Lead Clinical Strategy for Complex Care
Advance Integrated and Coordinated Care
Drive Organizational Strategy and Innovation
Foster Culture and Leadership Excellence
Clinical Practice

What we offer

paid vacation
401K match
health, vision, and dental coverage
Leadership development and continuing education stipends
Opportunities for advancement
Flexible work environments
bonus
commission or short-term incentive program
equity award program
medical, dental, and vision coverage

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

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

Director, Medical Information

Beam is seeking a driven and scientifically rigorous Director of Medical Informa...

Location

United States , Cambridge

Salary:

210000.00 - 260000.00 USD / Year

Beam Therapeutics

Expiration Date

Until further notice

Requirements

Advanced scientific degree required: PharmD, MD, PhD, or equivalent in life sciences, pharmacy, or a related field
Minimum 7 years of experience in Medical Information, Medical Affairs, or Medical Communications within the pharmaceutical or biotechnology industry
Experience contributing to or building Medical Information capabilities, including SOP development and content library management
Solid working knowledge of medical review processes (MRC/PRC) and promotional/non-promotional content review, with familiarity with applicable FDA and EMA regulations
Strong scientific writing skills with experience developing SRDs, medical information responses, and clinical content for internal and external audiences
Ability to work effectively cross-functionally in a fast-paced, pre-commercial biotech environment with lean teams and evolving priorities
Interest in or exposure to rare disease therapeutic areas, including the scientific and operational challenges of small patient populations
Experience in cell and gene therapy, gene editing, or other advanced therapy medicinal products, preferred
Exposure to AI/ML applications in Medical Affairs or Medical Information, including prompt engineering, LLM evaluation, or AI governance, preferred
Familiarity with medical information platforms (e.g., Veeva Vault, Salesforce Health Cloud, MedAnswers) or emerging AI-powered MI solutions, preferred

Job Responsibility

Establish the Medical Information department from the ground up, including defining the operating model, staffing plan, technology infrastructure, and standard operating procedures (SOPs)
Develop and maintain the MI quality framework to ensure all scientific content meets regulatory, compliance, and scientific integrity standards
Serve as the internal subject matter expert on medical information best practices, regulatory expectations (FDA, EMA), and industry benchmarks for rare disease and advanced therapies
Build and oversee the medical review process for promotional and non-promotional materials, ensuring scientific accuracy and alignment with label and clinical data
Partner in the establishment of a Medical Review Committee (MRC) / Promotional Review Committee (PRC), collaborating closely with Regulatory Affairs, Legal, and Commercial teams
Create and maintain a comprehensive library of standard response documents (SRDs), custom responses, and medical FAQs covering the company's cell and gene therapy pipeline across rare disease indications
Author and review medical information letters, disease education materials, clinical summaries, and scientific dossiers for internal and external use
Ensure all MI content reflects the most current evidence base, including clinical trial data, real-world evidence, and peer-reviewed literature
Partner with Medical Science Liaisons (MSLs), Clinical Development, and Commercial teams to develop scientifically rigorous training materials, slide decks, and internal reference tools
Lead the development of pipeline and disease area resources that enable cross-functional teams to communicate accurately about the science of cell and gene therapies

Fulltime

Senior Director - Health Information Management

Responsible for strategic oversight and operational leadership of Coding, Clinic...

Location

United States , Miramar

Salary:

Not provided

Memorial Healthcare System

Expiration Date

Until further notice

Requirements

Bachelors
Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA)
Registered Health Information Technician (RHIT) - State of Florida (FL)
Ten (10) years of experience in a healthcare setting, with a significant portion in Health Information Management (HIM), clinical coding, and/or Clinical Documentation Improvement (CDI), including five (5) years in a leadership role.

Job Responsibility

Oversees the development and implementation of departmental strategy, goals, plans and standards consistent with the clinical, administrative, regulatory, and ethical requirements of the organization
Ensures overall adherence to MHS policies, governmental and regulatory requirements and accreditation standards
Responsible for providing operational leadership regarding the electronic medical record system and other HIM related applications, including computer-assisted coding, medical transcription and document imaging
Oversees the implementation and ongoing performance of the coder intern training program
Maintains strict adherence to patient confidentiality according to MHS Standards and regulatory requirements
Oversees HIM custodial responsibility for the storage, release, and confidentiality of the legal medical record in both paper and electronic formats
Provides professional expertise to the Privacy Department related to patient identity/fraud issues and patient requests for medical record amendments
Collaborates regularly with key stakeholders in the organization to promote communication, support revenue integrity, improve business processes, ensure reliability of internal and external reporting, and promote standardization across the healthcare system
Leads departmental operational and financial planning to ensure cost-efficient operations and to maximize profitability
Plans, organizes, manages and facilitates various budgets for HIM and Document Imaging including capital, operating, labor, and position control

Fulltime

Senior Medical Director

The Senior Medical Director will join the team at a critical time in the history...

Location

United States , Columbus

Salary:

184112.00 - 396550.00 USD / Year

CVS Health

Expiration Date

July 31, 2026

Requirements

M.D. / D.O. / DNP graduates with license in good standing with no restrictions
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
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
Excited by developing and implementing new processes
Self aware and confident in their leadership skills

Job Responsibility

Leading provider teams in the local market
Partnering with Regional Vice President to achieve operational and clinical excellence
Practicing primary care in clinics 2.5 days per week
Supervising center medical directors
Interviewing, hiring, and retaining providers
Developing physician leadership
Supporting organizational strategy
Supervising interdisciplinary Complex Care Teams
Supervising Transitions Nurses
Partnering with population health and quality teams

What we offer

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs

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

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Medical Director, Population Health

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