VP, Chief Medical Officer – High Value Care
CVS Health
full-time
Posted on:
Location Type: Hybrid
Location: Hartford • Connecticut • Massachusetts • United States
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Salary
💰 $300,000 - $400,000 per year
Job Level
About the role
- Leads organizational efforts to develop long range clinical strategy and roadmap, in alignment with business objectives related to cost of care, quality, and provider and member experience.
- Responsible for Aetna-wide clinical leadership and governance for all levers focused on reducing total cost of care while maintaining/improving care quality, including: care models, vendor partnerships, value-based arrangements.
- Partners closely with business leadership to set and achieve performance targets (PMPM, admissions/1,000, ED/1,000, MLR), and develops synthesized view and strategy with CMOs for UM, Network, as well as LOB CMOs.
- Ensures cross-functional operational excellence through deep payer experience, focused on delivering measurable results across Medicare, Commercial, and Medicaid.
- Responsible for monitoring trends, developing actionable clinical insights, creating integrated views of clinical opportunities and performance across lines of business and functions, proactively driving performance.
- Drives accountability and achievement across clinical leaders and functions responsible for provider network strategy and engagement, clinical program development and execution, and specialty care strategy and SME teams.
Requirements
- 15+ years of experience in clinical practice, healthcare management, or a related field, with at least 5 years in a leadership role focused on clinical strategy and innovation.
- Strong understanding of healthcare regulations, value-based care models, and population health management.
- Proven track record of successfully leading clinical initiatives that drive cost savings and improve quality of care.
- Exceptional leadership, communication, and interpersonal skills, with the ability to influence and engage stakeholders at all levels.
- Strong analytical and problem-solving skills, with a data-driven approach to decision-making.
- Ability to thrive in a fast-paced, dynamic environment and manage multiple priorities effectively.
Benefits
- 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, retiree medical access and many other benefits depending on eligibility.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
clinical strategyhealthcare managementvalue-based care modelspopulation health managementdata-driven decision-makingclinical program developmentcost savings initiativesperformance monitoringoperational excellenceclinical insights
Soft Skills
leadershipcommunicationinterpersonal skillsinfluencing stakeholdersanalytical skillsproblem-solvingmulti-priority managementengagementcollaborationadaptability