We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.Position Summary Exciting opportunity with Aetna's Regional Clinical Consulting team for an experienced clinician with an intellectual curiosity, desire for continuous learning and passion to improve population health. Clinical Program Consultant (CPC) plays a key role in delivering strategic clinical insights to commercial plan sponsors in the Eastern US by combining clinical expertise, data analysis, and consultative communication.As a CPC, you will collaborate closely with account teams, care management, Regional Analytic Consulting, and key enterprise partners to support customer objectives. You will help customers understand plan performance, identify improvement opportunities, and implement solutions that drive better health outcomes and cost efficiencies.Key ResponsibilitiesIn this role, you will be empowered to: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.This is a customer‑facing role requiring up to 50% travel throughout the Eastern U.S., including onsite customer meetings, plan‑performance discussions, and strategic consultations.This is a work‑from‑home position. Preference will be given to candidates residing in the Eastern United States and within approximately two hours of a major Eastern-region airport (e.g., Atlanta, Charlotte, Miami, Orlando, Tampa, Washington Dulles, Reagan National, Baltimore, Philadelphia, Newark, New York-JFK, New York-LaGuardia, Boston).Clinical Program Consultants are key contributors to the Regional Clinical Consulting business-a multidisciplinary team of physicians, nurses, clinical social workers, well‑being consultants, and analytic consultants. Our environment values creativity, collaboration, and a consultative mindset, and our support is highly valued by internal partners and customers.Required QualificationsActive, unrestricted registered nurse (RN) licenseMinimum 5 years of clinical experienceAt least 3 years in acute careRemaining experience may include hospital, clinic, or community health1+ years of healthcare consultation experience with external stakeholdersAbility 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 detailStrong clinical analytics skills, including Excel and reporting toolsEffective presentation skills and experience communicating with large groupsProficient consultative, communication, and relationship‑building skills, including at the executive levelAbility to manage multiple deliverables in a timely and professional mannerProficiency with MS Office SuitePreferred Qualifications1+ years of leadership experienceExperience working with a health insurance carrierFamiliarity with benefit plan designStrong ability to communicate chronic condition impacts on population healthEducationRN - BSN preferred or equivalent experienceAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$60,300.00 - $132,600.00This 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.Additional details about available benefits are provided during the application process and on Benefits Moments.We anticipate the application window for this opening will close on: 04/18/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Job Title
Aetna Commercial Clinical Program Consultant - Eastern US Region