Executive Medical Director, Clinical Business Solutions

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.

Join a mission-driven organization at a transformative moment in employer-sponsored health care. As Executive Medical Director, Clinical Business Solutions at Aetna, a CVS Health company, you will lead the clinical team that serves as the clinical voice to our Commercial plan sponsors, prospects, and their advisors, demonstrating how Aetna’s clinical capabilities reduce cost, improve population health, and strengthen the member and provider experience.

Reporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, you will direct a national team of clinicians (MD, RN, NP) providing clinical support to Aetna’s National Accounts, Large Group, and Public & Labor businesses, in close partnership with Field and Account teams. You will lead and continuously improve the operations of the team to raise the level and quality of clinical support delivered to the Field, while sharing directly in its external work — including personally cultivating and holding relationships with key brokers, consultants, and plan sponsors.

The role is deliberately bidirectional. You will bring the voice of the customer and the producer community back into the organization, partnering with Clinical Operations, Medical Affairs, Commercial Product, and others to ensure our clinical offerings reflect what the market requires. We are seeking a commercially fluent physician leader with a strong command of Commercial health insurance, a demonstrated externally facing track record, the executive presence to establish credibility with sophisticated buyers and advisors, and a clear orientation toward building and developing a team.

• Team Leadership & Development:
  Lead, coach, and develop a team of clinicians (MD/RN/NP) providing clinical support across National Accounts, Large Group, and Public & Labor segments
• Share directly in the team’s external responsibilities, including:
  1) personally cultivating and holding relationships with key brokers, consultants, and plan sponsors, and
  2) personally leading clinical sales activities for high profile prospects
• Continuously improve how the team operates — coverage, prioritization, preparation, and materials — to increase the level and quality of clinical support provided to the Field
• Define the team’s coverage model; assign and manage named client and producer coverage, allocating clinical capacity against pipeline value, retention risk, and strategic importance in partnership with Field leadership
• Set and raise the standard for clinical narratives, presentation materials, and meeting preparation across all clinicians engaged in plan sponsor-facing activities, including those outside the direct reporting line
• Own hiring, onboarding, performance management, development planning, and succession for the team
• New Business Sales Support:
  Serve as the senior clinical leader for new business pursuits including finalist meetings, clinical sections of RFP responses, and clinical strategy sessions
• Cultivate relationships with clinical, benefits, and human capital decision-makers and influencers at prospective plan sponsors
• Partner with Sales leadership and Account Executives to develop strategic clinical messaging and articulate Aetna’s clinical differentiation against…