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Vice President, Chief Medical Officer - Medicare

CVS Health

CT - HartfordStaff
Sign in to applyVerified 3h ago
Location
CT - Hartford
Work model
On-Site
Level
Staff
Posted
Sep 4, 2026

About this role

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 The Vice President, Medicare Chief Medical Officer serves as the senior physician executive for Aetna's Medicare business, accountable for advancing the clinical strategy and performance of the Medicare book of business. The Medicare CMO helps define and execute the long-term vision for how Aetna delivers industry-leading care, experience, and value for Medicare members in a rapidly evolving healthcare landscape. This leader brings deep Medicare expertise and physician perspective to improve affordability, quality, Stars, risk performance, member experience, growth, and health outcomes, with particular focus on older adults, individuals with chronic and complex conditions, dual-eligible members, and special needs populations. The Medicare CMO leads through a highly collaborative operating model. In close partnership with the Medicare business, Aetna Clinical Solutions (ACS), High Value Care and Care Models, Network, Product, Operations, Analytics, Technology, and Finance, the Medicare CMO establishes Medicare-specific priorities, aligns capabilities, and drives measurable results. The role provides physician leadership while leveraging the distinct expertise and accountabilities of each partner. Success is achieved through shared accountability with ACS and enterprise partners, leveraging the complementary strengths of clinical strategy, care delivery, operations, analytics, and execution. A central mandate is to build and lead a best-in-class Medicare Medical Affairs team with an exceptional culture defined by clinical excellence, collaboration, accountability, innovation, and commitment to Medicare members. The aspiration is to create the most dynamic and highly regarded Medicare Medical Affairs team in the country.

Key Responsibilities

Busine and Clinical Performance Serve as the accountable physician executive for the clinical performance of the Medicare book of business, including affordability, quality, Stars, risk performance, member outcomes, growth, and member experience. Partner with the Medicare business and ACS to develop and execute a differentiated strategy grounded in the needs of older adults, members with chronic and complex conditions, dual-eligible members, and special needs populations. Identify and prioritize the highest-value opportunities to improve total cost of care, utilization, quality, growth, retention, and market differentiation. Advance integrated approaches to members' medical, behavioral, functional, pharmacy, and social needs, including care transitions, home- and community-based care, and caregiver support. Champion strategies and programs that advance Aetna's clinical North Star, including member engagement, access to high-quality care, frictionless experiences, and medical cost affordability. Establish clear performance expectations, monitor results, and mobilize partners to address emerging risks and opportunities. Collaborative Execution Serve as the physician executive leader for Medicare Medical Affairs in strategic partnership with Aetna Clinical Solutions, bringing together physician leadership, nursing expertise, operational excellence, analytics, and innovation to advance Medicare performance. Co-create priorities, measures of success, and execution plans with ACS and business partners, fostering alignment and accountability across the enterprise. Partner with High Value Care and ACS to shape Medicare priorities and leverage enterprise capabilities in the design, implementation, evaluation, and scaling of differentiated

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