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Position Summary
At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health’s unrivaled presence in local communities and their pharmacy benefits management capabilities, we’re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day.
Aetna is recruiting for an Executive Director, VBC Market Contracting who will oversee the VBC Center of Excellence and be accountable for the development and execution of the company’s strategy for increasing value-based risk arrangements across Aetna’s government businesses (Medicare, Medicaid, and Individual Family Plan). This leader will be charged with cultivating strategies to improve the health care experience for members and for improving the experience of providers. This leader will work collaboratively with the Chief Network Officers (CNO) that support each region to ensure development and execution of strategic and operational goals.
The VBC Contracting leader will be a thought partner that fosters deep collaboration with the Chief Network Officers and line of business leaders to provide innovative risk models to support health improvement, member engagement and care management that result in exceptional value and quality outcomes.
You’ll make an impact by:
Possessing exceptional leadership skills and transformational experience with a proven track record of delivering results.
Providing leadership to ensure development and attainment of strategic objectives for short and long-term plans. The leader will foster tighter alignment, integration and shared goals with the local markets and our national Network Strategy and Provider Experience organization.
Responsibility for working collaboratively with operations, analytics, and provider performance teams to ensure contract terms meet financial targets, can be administered, and comply with company standards.
Establishing strong partnerships and collaborative model with customers and prospective customers, National Network, Product, Clinical, Finance, Marketing, Actuarial, and Analytics across government segments to achieve objectives.
Direct accountability to meeting company targets around partial and full risk arrangements.
Developing and maintaining strong relationships with the Market Presidents, Market CFOs, and Segment Leads to ensure alignment in developing and effecting strategies that drive profitable membership growth.
Creating a customer focused culture and collaborates across the organization to ensure internal and external constituent needs are met.
Operating as a change leader suggesting new approaches to drive competitive cost positioning and value-based care innovation; breaking down barriers across the organization to achieve results and drive innovation.
Working with external audiences including C-suite level executives by facilitating meetings, delivering presentations, and advising on negotiations with major provider systems.
Overall accountability for outcomes and deliverables for the VBC strategy including growth in lives under risk.
Ensuring all operational teams deliver objectives.
Driving consistency for contracting, assessment criteria, negotiation, and reporting.
Developing and implementing technology roadmap.
Managing the department budget including ensuring open positions are posted and filed timely.
Required Qualifications
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:
15+ years of healthcare experience including contracting for value-based risk arrangements to support government business (Medicare, Medicaid, Exchange).
Experience crafting new primary/specialty care value-based contracting model.
Experience leading and influencing in a large matrixed environment.
Experience contracting with providers and hospital systems.
Strong presentation and communication skills; ability to consult as well as negotiate.
Strong analytical skills including root cause analysis.
Ability to think strategically.
Expertise in market level management, cost drivers and levers, and knowledge of economic, regulatory and marketplace issues.
Ability to drive and execute business initiatives effectively, with discipline, structure, and speed.
Effective communicator, shaping opinions, overcoming objections, and convincing others of vision and strategy by flexing leadership styles.
Track record of inclusively and proactively developing talent, empowering others, and creating a culture and environment which promotes open dialogue, and encourages others to work across organizational boundaries.
Mastery of growth mindset (agility and developing yourself and others) skills.
Ability to work Hybrid Model (in office Tuesday / Wednesday / Thursday) if residence is near a local Aetna office.
Demonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing bias.
Education
Bachelor’s degree or equivalent experience required.
Pay Range
The typical pay range for this role is:
$131,500.00 - $303,195.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. 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, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and 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. As for time off, 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.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.