Full-Time

Population Health Director

Aetna Michigan

Posted on 10/28/2025

Deadline 10/31/25
CVS Health

CVS Health

10,001+ employees

Healthcare, insurance, PBM, and retail pharmacy

Compensation Overview

$110.5k - $237.9k/yr

+ Bonus + Equity Grants + Commission

Company Historically Provides H1B Sponsorship

Michigan, USA

Remote

Fully remote; must reside in Michigan.

Category
Business & Strategy (1)
Requirements
  • 10 years’ clinical and/or managed care experience in the healthcare industry
  • Must reside in Michigan
  • 7 years’ Experience with Medicaid managed care or Population Health
  • Active and unrestricted registered nursing license or social worker license in state of residence.
  • Mastery of problem solving and decision-making skills
  • Mastery of collaboration and teamwork
  • Mastery of growth mindset (agility and developing yourself and others) skills
  • Mastery of execution and delivery (planning, delivering, and supporting) skills
  • Mastery of business intelligence
Responsibilities
  • Responsible for all population health management components.
  • Oversee the strategic design, implementation, and evaluation of population health initiatives based on a deep understanding of scientific population health principles.
  • Sponsor and champion system-wide initiatives, including cultivating the support necessary to achieve the desired objectives of supporting equitable whole person care for Enrollees.
  • Develop and implement operational plans that address the market opportunities/challenges and align with the established population health goals of serving the whole person, including Enrollees’ medical and non-medical needs.
  • Must coordinate with the Medical Director and the Quality Improvement and Utilization Director and external parties on population health activities.
Desired Qualifications
  • Previous experience that reflects a proven track record or proficiency in the competencies noted.
  • Previous experience with Managed Care
  • Demonstrated verbal/written communication and computer skills.
  • Ability to work in a fast-paced environment.
  • Demonstrated ability to plan, organize, and execute multiple functional business objectives.
  • Exceptional communications skills including ability to interact with a variety of external and internal audiences including senior management.
  • Certified Professional in Health Quality (CPHQ) or other certification a plus.
  • Proficient in Microsoft Office Suite, including Word, Excel, Outlook, OneNote, and Teams, with the ability to effectively utilize these tools within the context of the Population Health Director role
  • Confidence working at home / independent thinker, using tools to collaborate and connect with teams virtually

CVS Health operates as a diversified health services company in the United States, organized into Health Care Benefits, Pharmacy & Consumer Wellness, and Health Services. Its offerings include medical insurance products, retail and mail-order prescription drugs, and pharmacy benefit management (PBM) services, all connected through its integrated platform. By combining insurance, retail pharmacy, PBM, and health solutions, CVS Health coordinates care and controls costs across touchpoints for individuals, employers, and government programs. The company aims to lower health care costs while improving access and health outcomes for customers.

Company Size

10,001+

Company Stage

IPO

Headquarters

Woonsocket, Rhode Island

Founded

1963

Simplify Jobs

Simplify's Take

What believers are saying

  • Aetna drove Q1 2026 operating income to $3 billion, raising EPS guidance to $7.30-$7.50.
  • Health100 AI platform with Google Cloud enhances personalized care and efficiency.
  • Pharmacy-only stores expand to 20 sites in 2026, targeting underserved Chicago, Houston areas.

What critics are saying

  • Aetna pays $117.7M DOJ settlement for Medicare Advantage diagnosis fraud in May 2026.
  • FTC insulin settlement forces Caremark rebate transparency, compressing PBM margins by 2027.
  • Walgreens VillageMD and Walmart clinics erode CVS retail pharmacy market share in 2026.

What makes CVS Health unique

  • CVS Health integrates Aetna insurance, Caremark PBM, and 9,000 retail pharmacies into closed-loop care.
  • Specialty units like Accordant and Coram serve 45,000 patients monthly for complex conditions.
  • HealthHub kiosks and MinuteClinics pilot preventive care in Atlanta, Houston, Philadelphia.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Company News

PR Newswire
Mar 30th, 2026
CVS opens first pharmacy-only location in Chicago, plans nearly 20 this year

CVS Health has opened its first pharmacy-only location in Chicago, part of plans to launch nearly 20 such sites across the US this year. The 3,000-square-foot store at 2628 West Pershing Road features a full-service pharmacy with selected over-the-counter products. The pharmacy-only format is designed to increase access to medications, immunizations and pharmacist consultations in underserved communities. Additional locations are planned for Houston, Roxbury, Detroit and Brooklyn in 2026, alongside more than 40 traditional CVS Pharmacy stores. The move responds to consumer preferences, with CVS's 2025 research showing 80% of patients prefer face-to-face pharmacy care and 48% would switch pharmacies if limited to digital-only options. The company opened its first pharmacy-only site in Birmingham, Alabama, late last year.

Yahoo Finance
Mar 26th, 2026
CVS settles FTC insulin pricing probe as regulatory scrutiny of pharmacy benefit manager intensifies

CVS Health has reached a proposed settlement with the Federal Trade Commission over insulin pricing practices at its Caremark pharmacy benefit manager unit. The company also declared a quarterly dividend of $0.665 per share, payable on 4 May 2026. The settlement places CVS's pharmacy benefit management model under increased regulatory scrutiny regarding drug cost transparency. The company's investment narrative centres on its integrated model across insurance, pharmacy and care delivery, with near-term focus on restoring profitability in healthcare delivery and PBM services. CVS recently appointed former Elevance Health CFO John E. Gallina to its board as an audit committee financial expert. The company's narrative projects $445.5 billion revenue and $10.2 billion earnings by 2029, implying a fair value of $96.50 per share.

Yahoo Finance
Mar 23rd, 2026
Bernstein upgrades CVS Health to Outperform with $94 price target amid Medicare Advantage turnaround

Bernstein analyst Lance Wilkes upgraded CVS Health to "Outperform" from "Market Perform" on 12 March, raising the price target to $94 from $91. The upgrade reflects the company's attractive exposure to the Medicare Advantage turnaround and expectations of stable earnings in its pharmacy and pharmacy benefit manager businesses following reforms. Wilkes cited the PBM bill passage and the Federal Trade Commission settlement with Cigna as clearing events for the stock. Separately, CVS Health announced a strategic partnership with Google Cloud focused on reimagining healthcare experiences through its new health technology subsidiary, Health100, which will offer AI-powered healthcare services. CVS Health operates as a diversified healthcare company combining insurance, pharmacy benefit management, retail pharmacies and clinical services across the United States.

Yahoo Finance
Mar 13th, 2026
CVS Health's Aetna unit pays $117.7M to settle Medicare Advantage fraud allegations

Aetna, a CVS Health subsidiary, has agreed to pay $117.7 million to the US Department of Justice to settle allegations that it submitted inaccurate diagnosis codes for Medicare Advantage members to increase reimbursements. The settlement resolves longstanding False Claims Act allegations related to the Medicare Advantage programme. CVS Health shares recently closed at $76.07, down 5.1% year-to-date, though up 20.1% over the past year. The settlement is material for the company, which has thin net margins of 0.4% and debt not well covered by operating cash flow. The agreement highlights compliance risks in CVS Health's government-facing insurance operations, a central part of its Medicare Advantage business. Analysts' average target price stands at $96.50, approximately 27% above current levels.

Yahoo Finance
Mar 7th, 2026
Alphabet faces wrongful death lawsuit over Gemini AI chatbot while expanding healthcare partnership with CVS

Alphabet faces a wrongful death lawsuit alleging its Gemini AI chatbot contributed to a user's suicide, reportedly the first legal case directly linking Google's AI tools to a death. Simultaneously, the company announced a healthcare AI partnership with CVS Health focused on a real-time consumer engagement platform. The contrasting developments underscore Alphabet's expanding role in high-stakes sectors. The CVS collaboration integrates Gemini into Health100, a platform handling personal interactions across insurers, pharmacies and care providers. Meanwhile, the lawsuit tests whether conversational AI design and crisis protocols carry a duty of care, even outside formal healthcare settings. For investors, the key questions centre on how Alphabet manages legal risk, establishes guardrails and navigates regulatory oversight as its AI tools penetrate sectors requiring heightened safety and compliance standards.

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