Executive Director, National Specialty Value‑based Care Partnership at CVS Health

Overview

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 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 seeking a highly strategic Executive Director to lead the National Specialty Value‑Based Care (VBC) Partnership organization.
• This senior leader will serve as the enterprise owner of Aetna’s national specialty VBC strategy, spanning provider partnerships, clinical vendor governance, operational execution, and performance oversight across Medicare, Medicaid, and Commercial markets.
• This role oversees a growing national specialty VBC portfolio supporting 20+ markets and hundreds of thousands of attributed lives, with responsibility for enterprise strategic alignment, partner performance, clinical and operational governance, and the delivery of meaningful affordability, quality, and member experience outcomes.
• The Executive Director leads a team of Lead Directors and Senior Managers across contracting, strategic & operational excellence, and provider performance ensuring tight coordination, scalable infrastructure, and seamless partner experience while advancing Aetna’s long-term specialty VBC strategic roadmap.
• Key Responsibilities Enterprise Strategy & Leadership Serve as the enterprise owner of the national specialty value‑based care strategy, setting multi‑year direction and operational priorities.
• Oversee the full lifecycle of specialty provider partnerships from sourcing and contracting through implementation, performance monitoring, and long‑term governance.
• Lead and scale a national specialty VBC organization supporting 20+ markets and diverse specialty conditions, ensuring readiness, scalability, and best‑in‑class partner engagement.
• Act as the senior decision‑maker on specialty VBC design, market deployment, and national model standardization.
• Contracting, Compliance & Performance Governance Make executive‑level decisions on complex provider agreements involving significant financial, quality, and regulatory implications across Medicare and Medicaid.
• Oversee provider and vendor risk performance, including affordability impact, quality outcomes, and experience metrics.
• Lead escalation across markets, clinical operations, and network teams, ensuring timely issue resolution and risk mitigation.
• Ensure compliance with CMS, state, and federal requirements related to clinical delegation, reporting, specialty contracting, and care model operations.
• Oversee service continuity and contingency planning across specialty partners to ensure uninterrupted member care.
• Cross ‑Functional Alignment & Enterprise Influence Convene senior leaders across Network, Clinical, Medical Economics, Product, Segment Leadership, and Enterprise Strategy to align on strategic priorities and enterprise roadmaps.
• Lead executive‑level sessions, strategic forums, and condition‑specific summits to drive shared understanding, accountability, and execution.
• Serve as the executive liaison across Aetna and CVS Health enterprise teams to ensure transparency, mitigate barriers, and accelerate time‑to‑value.
• Organizational Leadership & Talent Development Lead a team responsible for National Specialty VBC provider contracting, strategic & operational excellence, and partner strategy.

Benefits

• for great people We 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: 07/25/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.