Aetna Commercial Clinical Program Consultant - Western US Region

CVS Health

2d•Remote

About The Position

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 This is an 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 Western 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.

Requirements

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 Western 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

Nice To Haves

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

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 Western region.

Benefits

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.

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