Senior Medical Director, Digital Innovation

Location: Minnesota

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.

Job Purpose and

Summary:

Join a mission-driven organization at a transformative moment for health care and technology. As Senior Medical Director, Digital Innovation at Aetna, a CVS Health company, you will serve as a key physician leader for Aetna's digital health and clinical AI strategy - a role that sits at the forefront of how a leading national health plan is deploying artificial intelligence and digital tools to improve access, drive behavior change, and measurably improve outcomes for tens of millions of members.

Reporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, and partnering across Analytics, Technology, Clinical Operations, Enterprise AI, Product, and Aetna Medical Affairs, this leader will shape how Aetna sources, evaluates, and scales member-facing clinical AI products; how the Aetna Health app and omni-channel digital platforms are designed to activate members; and how AI is embedded into clinical workflows to extend the reach and impact of our care teams.

We are seeking a physician technologist: a clinician who is equally fluent in clinical product development, AI/ML applications, complex health care integrations, and population health strategy. The ideal candidate has built or led clinical digital products, understands what it takes to move from concept to scaled deployment, and brings the clinical credibility and executive presence to influence at every level of the organization.

Primary Job

Duties & Responsibilities:

Clinical AI - Member-Facing Tools Serve as the principal physician leader for Aetna's member-facing clinical AI portfolio - tools and solutions that leverage artificial intelligence to improve access to care, close gaps in care, and drive measurable health outcomes across populations, with a focus on the Commercial line of business

Work with Aetna Digital, Clinical Operations, Medical Affairs, and Product teams to develop and advance clinical AI product roadmap: source and evaluate emerging AI-enabled tools; scope clinical use cases and functional requirements; define and oversee measurement plans; and shepherd solutions from pilot through scaled deployment

Establish clinical acceptability criteria for AI tools - covering clinical validity, safety, and workflow appropriateness - and ensure appropriate clinician-in-the-loop controls are in place where needed; establish criteria for AI vendor review in partnership with key business partners

Define clinical performance measures - including effectiveness, safety signals, and unintended consequences - and establish monitoring plans for model drift, changes in clinical practice guidelines, and emerging risk signals; recommend retraining, recalibration, or retirement when appropriate

Identify and mitigate risks from automation including bias, access inequities, and unintended harm; ensure equitable performance across member populations and align AI deployment with organizational values and member trust

Member-Facing Omni-Channel Digital Campaigns Provide clinical leadership and strategic direction for member-facing omni-channel digital outreach campaigns designed to drive behavior change, close gaps in care, and improve health outcomes

Partner with DDAT, Marketing, Care Management, and Commercial Medical Affairs colleagues to design, prioritize, and evaluate campaign strategies - applying population health thinking to segment members by risk, condition, and care gap, with clinical rigor in message design, targeting logic, and success measurement

Serve as the physician partner to Aetna Digital on the Aetna Health app roadmap and feature development, advising on how digital tools - notifications, personalized content, coaching, self-service, and connected devices - can most effectively activate members to adopt health-promoting behaviors and navigate their care Champion a clinically grounded, evidence-informed approach to digital member engagement, partnering with product and design teams to integrate clinical intelligence into the member-facing experience AI Optimization for Clinical Workflows Partner with Clinical Operations colleagues to identify and prioritize opportunities to embed AI into clinical workflows - enabling care managers, nurses, and other clinical staff to work at the top of their license and extend their impact

Provide physician leadership in the design and evaluation of AI-augmented workflows; ensure that automation and decision-support tools are clinically sound, operationally feasible, and appropriately governed; partner with operational leaders to ensure…