Aetna Commercial Clinical Program Consultant - Western US Region

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.

This is an exciting opportunity with Aetna's Regional Clinical Consulting team for an experienced clinician with an intellectual curiosity, desire for continuous learning and passion to improve population health. Clinical Program Consultant (CPC) plays a key role in delivering strategic clinical insights to commercial plan sponsors in the Western US by combining clinical expertise, data analysis, and consultative communication.

• Deliver forward-thinking clinical insights derived from analyzing clinical utilization patterns and member behavior impact on medical costs.
• Recommend clinical programs and services aligned with customer strategy to influence short‑ and long‑term results.
• Analyze, synthesize, and present clinical findings paired with actionable recommendations in customer‑facing meetings.
• Serve as a trusted clinical resource on population health, industry trends, and health disparities.
• Collaborate across the organization to align strategies between customers and the health plan.
• Contribute to customer population health strategies across the clinical continuum.
• Create and propose solutions to improve member health, including leveraging community resources and partnerships in the Western region.

This is a customer‑facing role requiring up to 50% travel throughout the Western U.S., including onsite customer meetings, plan‑performance discussions, and strategic consultations.

This is a work‑from‑home position. Preference will be given to candidates residing in the Western United States and within approximately two hours of a major Western‑region airport (e.g., Los Angeles, San Francisco, Seattle, Denver, Phoenix, Salt Lake City, Portland, Las Vegas, etc.).

Clinical Program Consultants are key contributors to the Regional Clinical Consulting business-a multidisciplinary team of physicians, nurses, clinical social workers, well‑being consultants, and analytic consultants. Our environment values creativity, collaboration, and a consultative mindset, and our support is highly valued by internal partners and customers.

• Active, unrestricted registered nurse (RN) license
• Minimum 5 years of clinical experience
  • At least 3 years in acute care
  • Remaining experience may include hospital, clinic, or community health
• 1+ years of healthcare consultation experience with external stakeholders
• Ability to travel up to 50% within the Western U.S.
• Highly proficient with MS Office programs (Excel, PowerPoint, Word, and Outlook)
• Excellent consultative, communication and presentation skills (especially PowerPoint)
• Excellent problem‑solving skills and attention to detail
• Strong clinical analytics skills, including Excel and reporting tools
• Effective presentation skills and experience communicating with large groups
• Proficient consultative, communication, and relationship‑building skills, including at the executive level
• Ability to manage multiple deliverables in a timely and professional manner
• Proficiency with MS Office Suite

• 1+ years of leadership experience
• Experience working with a health insurance carrier
• Familiarity with benefit plan design
• Strong ability to communicate chronic condition impacts on population health

• RN - BSN preferred or equivalent experience

40

Full time

The typical pay range for this role is: $60,300.00 - $. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or…