Aetna Commercial Clinical Program Consultant – Eastern US Region

CVS Health is the nation’s leading health solutions company, dedicated to transforming health care. They are seeking an experienced Clinical Program Consultant to deliver strategic clinical insights to commercial plan sponsors in the Eastern US, utilizing clinical expertise and data analysis to improve population health outcomes. Responsibilities • Deliver forward-thinking clinical insights derived from analyzing clinical utilization patterns and member behavior impact on medical costs • Recommend clinical programs and services aligned with customer strategy to influence short‑ and long‑term results • Analyze, synthesize, and present clinical findings paired with actionable recommendations in customer‑facing meetings • Serve as a trusted clinical resource on population health, industry trends, and health disparities • Collaborate across the organization to align strategies between customers and the health plan • Contribute to customer population health strategies across the clinical continuum • Create and propose solutions to improve member health, including leveraging community resources and partnerships in the Eastern region Skills • Active, unrestricted registered nurse (RN) license • Minimum 5 years of clinical experience • At least 3 years in acute care • Remaining experience may include hospital, clinic, or community health • 1+ years of healthcare consultation experience with external stakeholders • Ability to travel up to 50% within the Eastern U.S • Highly proficient with MS Office programs (Excel, PowerPoint, Word, and Outlook) • Excellent consultative, communication and presentation skills (especially PowerPoint) • Excellent problem‑solving skills and attention to detail • Strong clinical analytics skills, including Excel and reporting tools • Effective presentation skills and experience communicating with large groups • Proficient consultative, communication, and relationship‑building skills, including at the executive level • Ability to manage multiple deliverables in a timely and professional manner • Proficiency with MS Office Suite • 1+ years of leadership experience • Experience working with a health insurance carrier • Familiarity with benefit plan design • Strong ability to communicate chronic condition impacts on population health • RN – BSN preferred or equivalent experience Benefits • Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access Company Overview • CVS Health is a health solutions company that provides an integrated healthcare services to its members. It was founded in 1963, and is headquartered in Woonsocket, Rhode Island, USA, with a workforce of 10001+ employees. Its website is https://www.cvshealth.com/. Apply tot his job Apply To this Job