Senior Program Strategist

CVS Health

4d

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. Company Overview At CVS Health®, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As part of Aetna, a CVS Health business, this role directly supports our Medicaid line of business by advancing population health strategies that improve outcomes for vulnerable and high‑need member populations. Position Summary The Senior Program Strategist plays a critical role in supporting the Medicaid business by advancing population health strategy through improvement of the content, usability, and clinical relevance of the Member Journey solution (population health database and reporting), while also supporting the design, implementation, and evaluation of population health programs across Medicaid health plans. This role bridges population health strategy, analytics, and operations, ensuring that data‑driven solutions and population health programs are member centric, operationally practical, and aligned with Medicaid contractual requirements, quality programs, and state-specific priorities. A clinical license is not required for this position.

Requirements

• 7+ years of experience in population health, clinical strategy, healthcare analytics, care management, quality, or healthcare consulting.
• Demonstrated experience supporting Medicaid or other government‑sponsored health programs.
• Strong understanding of population health management, care management, and healthcare delivery workflows.
• Experience translating clinical concepts into dashboards or decision‑support tools.
• Strong communication and stakeholder engagement skills.

Nice To Haves

• Direct experience working with Medicaid quality measures, contractual requirements, or state initiatives.
• Familiarity with Medicaid care management, value‑based purchasing, and quality improvement programs as well as population health programs and patient centered interventions.
• Experience with analytics and visualization tools such as Power BI or Tableau.
• Experience using AI to enhance and guide strategic projects and initiatives.

Responsibilities

• Serve as a strategic subject matter expert for the Medicaid Member Journey solution.
• Ensure dashboard content reflects Medicaid workflows, quality measures, and population health priorities.
• Partner with analytics teams to define and refine clinical logic, measures, and workflows represented in dashboards.
• Improve usability, clarity, and storytelling to ensure insights are actionable for Medicaid plan, clinical, and operational stakeholders.
• Support the design and implementation of Medicaid population health programs across multiple states and health plans.
• Translate Medicaid clinical strategies and state requirements into measurable program objectives and analytics requirements.
• Collaborate with care management, quality, product, and operations teams to ensure programs are scalable and compliant with Medicaid regulations.
• Partner with analytics teams to evaluate program performance, including quality, utilization, and engagement outcomes.
• Serve as a trusted advisor to Medicaid health plan leaders and enterprise partners on population health strategy and analytics‑enabled decision-making
• Transform traditional analytics by improving data transparency, enabling actionable workflow insights, and enhancing clinical decision-making.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level