As the Chief Medical Officer (CMO) at Aetna Health Care, you will play a pivotal role in driving our healthcare strategy, ensuring the delivery of high-quality medical services, and promoting patient-centric care. You will provide clinical leadership and oversee medical policies, procedures, and programs. Collaborating closely with executive leadership, you will shape Aetna health care solutions and create an innovative environment to enhance health outcomes for our members. Additionally, you will lead initiatives to improve the efficiency and effectiveness of care delivery while fostering relationships with providers, regulatory agencies, and other healthcare stakeholders. The CMO will also be responsible for aligning medical strategies with our broader business objectives, promoting sustainable growth, and ensuring compliance with healthcare regulations. This role requires a visionary leader who is dedicated to advancing Aetna mission to provide high-quality, affordable healthcare while navigating the challenges of a constantly evolving healthcare landscape.

Responsibilities:

• Lead the development and execution of Aetna clinical strategy in alignment with business goals.
• Provide clinical guidance and oversight for medical policies, procedures, and protocols.
• Ensure the delivery of cost-effective, high-quality healthcare services to members.
• Collaborate with executive leadership on healthcare initiatives and policy development.
• Develop and maintain strong relationships with healthcare providers and regulatory agencies.
• Oversee clinical quality programs and continuous improvement initiatives to enhance patient outcomes.
• Analyze healthcare trends and emerging technologies to recommend innovative healthcare solutions.
• Drive initiatives to improve patient care coordination and reduce healthcare costs.
• Ensure compliance with state and federal healthcare regulations and standards.
• Act as the clinical face of Aetna in external forums, conferences, and policy discussions.

Requirements:

• MD or DO with a valid medical license in the United States.
• Board certification in a relevant specialty, preferably in primary care or a related field.
• Advanced degree in business, healthcare administration, or public health is preferred.
• In-depth knowledge of healthcare delivery models, medical policy, and regulatory requirements.
• Experience in managed care organizations or integrated healthcare delivery systems.
• Proven leadership skills with a track record of driving healthcare innovation and quality improvement.
• Strong analytical and problem-solving skills, with the ability to synthesize complex data.
• Excellent communication, collaboration, and negotiation abilities.
• Ability to lead cross-functional teams and work in a dynamic, fast-paced environment.

Experience:

• Minimum of 10 years of clinical experience, with at least 5 years in a leadership role in healthcare management.
• Experience working in a managed care environment or healthcare insurance company is preferred.
• Expertise in population health management, quality assurance, and cost-containment strategies.

Working Hours:

• Full-time position, typically 40-50 hours per week.
• Flexibility required for attending executive meetings, conferences, and industry events.

Knowledge, Skills, and Abilities:

• Strong understanding of healthcare regulations, clinical guidelines, and managed care principles.
• Ability to effectively manage and lead teams to achieve business and clinical objectives.
• Expertise in data analysis, performance metrics, and healthcare quality improvement initiatives.
• Familiarity with health IT systems, telemedicine, and digital health innovations.
• Exceptional organizational and decision-making skills.
• Ability to balance business objectives with patient care priorities.

Benefits:

• Competitive salary and performance-based incentives.
• Comprehensive healthcare benefits package, including medical, dental, and vision insurance.
• 401(k) retirement savings plan with company match.
• Paid time off (PTO), including vacation, sick leave, and holidays.
• Opportunities for professional development and career advancement.
• Employee wellness programs and flexible work arrangements.

Why Explore a Career at Aetna Health Care:

Aetna Health Care offers a dynamic and collaborative work environment where innovation and excellence are valued. As a part of the Aetna team, you will be at the forefront of transforming healthcare, making a difference in the lives of millions of members by promoting access to quality, affordable care. We are committed to fostering a culture of inclusivity, respect, and growth, offering employees opportunities to thrive both professionally and personally. With a focus on forward-thinking health solutions, Aetna is dedicated to shaping the future of healthcare, and as CMO, you will have the opportunity to be a key driver of this transformation. Join us and contribute to a healthier future for all.

About Aetna Health Care:

Aetna, a CVS Health company, is one of the nation leading health care benefits providers, serving millions of members across the U.S. and around the globe. Founded in 1853, Aetna has a long history of providing comprehensive health insurance plans and services that prioritize patient well-being and promote health equity. As a pioneer in healthcare innovation, Aetna is focused on delivering integrated, affordable, and high-quality healthcare solutions that meet the diverse needs of individuals, employers, and communities. Our mission is to build a healthier world through partnerships, prevention, and a member-first approach that empowers people to live healthier lives. Aetna is committed to addressing healthcare disparities and advancing the use of technology in healthcare delivery, including telehealth and digital health platforms. As part of CVS Health, Aetna leverages its scale and expertise to improve access to care and enhance health outcomes for all its members.