We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.
*** This role requires Board Certification in Clinical Informatics ***
Position Summary
We’re building a more connected, convenient, and compassionate health experience.
The Senior Medical Director of Informatics is a senior physician leader who leads and oversees clinical informatics and clinical analytics work across PBM products and CVS Healthspire Payor Solutions, supporting a broad portfolio of care management and digital health offerings. These solutions complement employer and health plan benefits and address population health needs requiring risk identification, targeted intervention, and sustained chronic care management, leveraging integrated medical claims, pharmacy claims, laboratory data, and patient-generated inputs to enable evidence-based, omnichannel care strategies.
In this role, the physician leads and partners with Product, Technology, Data/Analytics, and Clinical Governance teams, with accountability for ensuring that clinical guidance and analytic insights are evidence-based, scalable, and consistently operationalized through clear clinical requirements, measurement approaches, and governed clinical content and logic. This is not a utilization management or direct patient care role, but a senior, product- and data-facing physician leadership position with responsibility for clinical informatics oversight, analytic integrity, and clinical accountability within data- and product-driven environments.
Primary Responsibilities
- Serve as the clinical authority for clinical data definitions, decision logic frameworks, and "north star" outcome and quality measures used across products — with accountability for consistency, auditability, and cross-functional alignment.
- Build team capability in clinical data science, outcomes measurement, and evidence-based content governance.
- Serve as the clinical informatics subject matter expert for product teams by translating clinical concepts and evidence into implementable requirements (e.g., clinical definitions, decision logic, care pathway content, and data requirements).
- Review and approve clinical-facing content and logic for accuracy, safety, and evidence alignment (including change control, documentation, and auditability).
- Partner with Data/Analytics and Data Science teams to define analytical approaches that support strategic initiatives, trend detection, and measurable product impact (quality, outcomes, engagement, experience, and cost-related measures as appropriate).
- Steward evidence generation efforts by overseeing the design, evaluation, and interpretation of analytic outputs that demonstrate clinical value, program effectiveness, and outcomes, including support for internal analyses, white papers, and external-facing evidence where appropriate.
Required Qualifications
- Current Board Certification in Clinical Informatics
- Active, unrestricted medical license (state unspecified) with ability to obtain additional licensure if required by business needs.
- At least 5 years of demonstrated clinical informatics experience (e.g., building/operationalizing clinical decision logic, clinical data definitions, clinical content governance, interoperability-informed workflows, or related informatics leadership).
- At least 2 years of direct people management experience, including hiring, performance management, and team development.
- Candidate must be willing to work Eastern Time Zone business hours.
Preferred Qualifications
- Experience in payor, population health, or enterprise care management environments (health plan and/or health system).
- Experience with outcomes measurement frameworks, clinical quality measurement, and population health program evaluation.
- Prior experience with SQL/R/Python and causal inference techniques.
- Prior experience developing white papers or publications.
Education
Pay Range
The typical pay range for this role is:
$184,112.00 - $396,550.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 06/30/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
