At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.
As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Aetna is seeking to hire a visionary and enterprise-minded leader to serve as our Head of Value-Based Care Strategy. This executive will be responsible for leading the Centers of Excellence team that designs and executes a national strategy that drives innovative, market-differentiating partnerships and measure performance with providers across our Medicare, Medicaid, and Commercial lines of business. This includes collaborating with partners such as Interoperability, VBC Analytics and Technology/DDAT.Key Responsibilities- Develop and execute a national value-based care strategy aligned with enterprise growth goals.
- Serve as a thought leader and advisor to national and market-level executives on VBC innovation and Performance.
- Foster alignment across Network Markets and Business Segment leaders to embed risk-based arrangements into core growth strategies.
- Lead the design and implementation of innovative, low-cost network structures and financial arrangements.
- Oversee contracting and engagement with national provider groups (primary care and specialty).
- Manage value-based care governance, including contract templates, policies, and procedures for regional teams.
- Implement provider tiering frameworks and targeted interventions to improve outcomes and efficiency.
- Ensure integration of QNXT and other data systems into VBC reporting and reconciliation workflows.
- Lead the implementation of next-generation payment models, including and capitation.
- Collaborate with the Clinical Vendor Governance Council to prioritize specialty contracting across lines of business.
- Partner with Interoperability teams to develop a comprehensive provider data-sharing strategy.
- 15+ years of healthcare experience, including contracting, medical economics, and provider partnerships/engagement.
- Deep expertise in value-based contracting models (full risk arrangements, shared savings, capitation, bundled payments).
- People Management experience
- Proven success in matrixed organizations undergoing rapid growth and transformation.
- Strong understanding of financial levers in risk-based arrangements and provider incentive design.
- Experience with delegated risk models and governance.
- Proven experience presenting to clients/providers
- Strong analytics and financial acumen
- Experience with CMS/CMMI programs and Stars performance optimization will be valued
- Strong analytical and root cause analysis skills.
- Executive presence with excellent communication and stakeholder management abilities.
- Ability to travel to in person meetings with providers
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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What We Do
CVS Health is the leading health solutions company that delivers care in ways no one else can. We reach people in more ways and improve the health of communities across America through our local presence, digital channels and our nearly 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners.
Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications, or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day.
