Senior Medical Director of Clinical Informatics

CVS Health

6d•Remote

About The Position

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.

Requirements

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.
M.D. or D.O. required.

Nice To Haves

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.

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.