Senior Manager – Value Based Commercial Arrangements – Clinical Consultant
Join to apply for the Senior Manager - Value Based Commercial Arrangements – Clinical Consultant role at CVS Health .
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.
Position Summary
With a focus on partnering with our internal and external constituents, this role will ensure clinical programs and workflows are delivered accurately and on time. Responsibilities will include evaluating population health programs within Value Based Contracting (VBC), identifying appropriate programs, and executing new programs, workflows and/or processes to meet the Aetna Clincal Solutions (ACS) business results.
Drive or guide the development and evaluation of holistic solutions.
The Clinical Consulatant provides consultative solutioning around the identification and implementation of care transformation initiatives within the client organization that will improve quality, increase efficiency, and drive cost savings and improve the member and provider experience.
Identify opportunities for provider improvement and influence internal and external business leader(s) to change through negotiations and consultation that promote issue resolution.
Communicates concise results to empower client groups and internal leadership in decision making regarding opportunities.
Capture and elevate to Sr. Leadership feedback from the marketplace and the provider community that will shape the strategies going forward.
Location
One may live anywhere in the continental US.
If outside of the Eastern Time Zone, need to be flexible to work Eastern Time Zone hours as needed.
Required Qualifications
5+ years of clinical program (understanding program design and impact of program) experience
2+ years with clinical program delivery on the provider side
2+ years experience in health care analysis methods and tools, Population health, care management including disease management, complex care, and end of life.
2+ years experienced working with clinical and claims data
Ability to manage multiple customers and competing priorities that drive positive outcomes
Experience in the following:
5+ years experience introducing and implementing programs
Outstanding verbal and written communication skills, including formal presentations for all levels of management combined with strong collaboration/influencing abilities
Leadership: Anticipating and Innovating and Creating Accountability
Service: Working Across Boundaries
2+ years ensuring project discipline/meeting deadlines
Preferred Qualifications
Licensed Clinical professional highly desired
Specific experience within an ACO model is highly desired.
Ability to collaborate with and understand the needs of C-level executives and help translate those needs to an actionable plan. Demonstrated ability to communicate technical concepts and implications to business and policy decision-makers and clients.
5+ years in either payer or provider settings highly preferred.
Deep knowledge of health care industry, policy, research design, predictive modeling, ACO finance methods and tools.
Strategic business acumen and proven organizational, management, and leadership skills.
Demonstrated collaborative style, with ability to influence diverse teams and build strong relationships.
Demonstrated strategic thinking, problem solving and critical thinking abilities.
Demonstrated ability to negotiate complex and often contentious issues; reach consensus and work through people to achieve key goals.
Acumen and experience with accountable care financial models.
Experience working with clinicians, finance, and operational leaders to drive performance improvement experience.
Education
Bachelor’s degree or equivalent experience
Master’s Degree in Business, Public Health, Health administration preferred but not required
Pay Range
The typical pay range for this role is $67,900.00 - $149,328.00. 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 short‑term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.
Great Benefits For Great People
We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits .
We anticipate the application window for this opening will close on: 11/21/2025.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.