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Aetna Commercial Clinical Program Consultant

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States , Work at Home

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Category:
Health and Beauty

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Contract Type:
Not provided

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Salary:

60300.00 - 132600.00 USD / Year
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Job Description:

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.

Job Responsibility:

  • 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

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 have:

  • 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
What we offer:
  • 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

Additional Information:

Job Posted:
February 22, 2026

Expiration:
February 28, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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