Aetna Commercial Clinical Program Consultant – Eastern 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 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.

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 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

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 Eastern region.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees