Executive Director, Clinical Health Services - Mental Well-being

CVS Health

103d • $184,112 - $396,550

About The Position

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 an Executive Director, Clinical Health Services who is a leader on the Mental Well-being business team informing strategy and operations with mental health clinical expertise, and identifying actions based on data and research to drive optimal cost and outcomes.

Requirements

• 15+ years of experience in clinical practice and research.
• 8+ years of experience in the mental healthcare delivery system; significant post-graduate direct patient care experience.
• 5+ years of leadership or management experience in the healthcare industry with a focus on mental health roles.
• Depth of clinical knowledge within mental health fields.
• External speaking experience, including direct engagement with customers, business leaders and industry organizations.
• Ability to drive change in alignment with the mission, vision and values of the organization.
• Strong understanding of analytics and ability to translate insights.
• Demonstrated ability to work effectively and collaboratively in matrixed environment.
• Strong project management skills (financial, analytical, planning and implementation).

Nice To Haves

• Experience with and knowledge of CPT and HCPCS coding guidelines and principles.
• Understanding of clinical guidelines, best practices and the latest on evidence-based care.

Responsibilities

• Drive clinical oversight for our clinical operational areas across our EAP, RFL and On Demand teams ensuring high quality interactions.
• Own the cross functional management process with clinical ops and OCPO for Health Affordability and SAI to review medical cost trends.
• Represent Aetna Mental Well-being externally at events and present to customers on our analytics, clinical story and thought leadership in Mental Health and Well-being.
• Bring data expertise to guide the analytics design with our performance excellence team to provide clinical design and interpretations.
• Support BH Clinical Operations ensuring efficient and effective delivery of healthcare services.
• Partner with the Chief Psychiatric Officer and our Chief Medical Officer on ensuring clinical discipline in our operations.
• Identify and operationalize clinical opportunities to improve access, quality and affordability for members.
• Represent the Mental Well-being business with centralized Quality function focused on HEDIS and NCQA with mental health clinical guidance and expertise.
• Provide clinical expertise as part of our mental well-being vendor evaluation process.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Senior
• Education Level: Bachelor's degree