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Role Description
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.
• 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 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.
Qualifications
• 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.
Requirements
• LOCATION– remote with travel to providers and clients plus Hartford.
Benefits
• This position is eligible for a CVS Health bonus in addition to the base pay range listed above.
• This position also includes an award target in the company’s equity award program.
• The Company offers a full range of medical, dental, and vision benefits.
• Eligible employees may enroll in the Company’s 401(k) retirement savings plan.
• An Employee Stock Purchase Plan is also available for eligible employees.
• The Company provides a fully-paid term life insurance plan to eligible employees.
• Short-term and long-term disability benefits.
• CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.
• Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year.
• Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.