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Position Summary
This important leadership role is responsible for leading the population health Aetna Medical Affairs team in the development of programmatic User Guides and sets the strategy for how requests for proposal (RFP) sections on Population Health are written for success. Additionally, this leader is responsible for representing Aetna Medical Affairs as the content subject matter expert (SME) for Population Health in RFP design, writing, and optimization. This leader will apply expertise to organize and create a clinical content library of existing clinical program descriptions, data points and program evaluations, member success stories to gather content for inclusion in RFP responses.  This leader will also apply expertise and understanding of the population health programs and to effectively respond to State requests and priorities. Analyzing and planning for places where the population program has opportunities, this leader will collaborate across clinical programs to ensure consistency in programs and their description in RFP responses. This role plays a crucial leadership role in preparation and execution for RFP in new states as well as current business. Additionally, this leader is the clinical liaison for the development of the Medicaid Maternity, NICU, and First year of Life program builds.

This position is a work at home and can work anywhere in the US.

Required Qualifications

• National SME on Population Health sections for RFP

• 10+ years building and maintaining clinical content strategy which includes a Clinical RFP library for use during RFP process 

• Lead development of population health programs

• Lead processes to ensure capture of proof points during preparation for RFP

• Collaborate on development strategies during new RFP process to ensure alignment with overall Pop Health Strategy

• Ability To: motivate teams, work collaboratively across a matrixed organization and us data to influence Senior leadership around program approvals and adoption. Regular and reliable attendance. Travel will be required occasionally and may be 20-30%.

Essential Qualifications and Functions:

Knowledge of: Industry best practices and most recent evidence base in clinical services and population health. Critical and strategic thinking as well as strong writing skills are essential to success in this role. Comfort in highly matrixed environment and strong communication skills are required. Regular and reliable attendance, ability to be flexible in job tasks as directed by manager are key. Strong knowledge of Medicaid, Medicaid regulations, and Medicaid contracts nationally is crucial.
Skill In: communication, writing.

Preferred Qualifications:

Knowledge of: Care management including maturity, utilization management and quality processes, requirements is preferred. 

Education
Bachelor’s Degree required; Master’s Degree preferred

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.  This position also includes an award target in the company’s equity award program. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 01/24/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.