[Hiring] VP, Value Based Strategy - Aetna @CVS Health
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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.
Apply Now
Apply Now
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.
Apply Now
Apply Now