VP, Value Based Strategy - Aetna

Head Of Value-Based Care Strategy

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Key Responsibilities

• 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.
• 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.
• 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.

Location Remote with travel to providers and clients plus Hartford

Qualifications

• 15+ years of healthcare experience, including contracting, medical economics, and provider partnerships/engagement.
• Deep expertise in value-based contracting models.
• 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.

We anticipate the application window for this opening will close on: 07/11/2025.

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.