Executive Director, Care Models - Aetna

CVS Health • Hartford, CT

1d

About The Position

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 Executive Director of Care Model Development and Oversight is responsible for the strategic leadership, planning, development, and ongoing oversight of innovative care models within the organization. This role ensures that care delivery is patient-centered, evidence-based, cost-effective, and aligned with organizational goals and regulatory requirements. The Executive Director works collaboratively across departments to implement best practices, drive quality improvement, and ensure operational excellence in care delivery systems.

Requirements

• Minimum of 15+ years of progressive leadership experience in healthcare delivery or care model development.
• Proven track record in developing, implementing, and managing innovative care delivery models.
• Strong knowledge of healthcare regulations, quality improvement processes, and performance metrics.
• Excellent leadership, communication, and interpersonal skills.
• Ability to analyze complex data, make strategic decisions, and drive organizational change.
• Master’s degree in Healthcare Administration, Nursing, Public Health, or related field; Doctoral degree preferred.

Responsibilities

• Strategic Leadership: Develop and communicate the vision and strategic direction for care model innovation and management. Ensure care models are in line with the organization's mission, values, and long-term objectives.
• Care Model Design & Development: Direct cross-functional teams in researching, designing, and piloting new care models. Apply industry best practices, emerging trends, and evidence-based approaches to enhance patient outcomes.
• Implementation & Integration: Oversee the introduction and integration of new care models throughout the organization. Ensure smooth collaboration with clinical, operational, and administrative teams.
• Performance Monitoring & Quality Improvement: Set key performance indicators (KPIs) and regularly evaluate the effectiveness of care models. Lead quality improvement initiatives and take corrective actions as necessary.
• Regulatory Compliance & Accreditation: Ensure all care models comply with federal, state, and local regulations, as well as accreditation standards. Stay updated on policy changes and adjust models as needed.
• Stakeholder Engagement: Build strong relationships with both internal and external stakeholders, including clinical leaders, payers, patients, and community partners. Facilitate communication and collaboration to support the success of care models.
• Resource Management: Oversee budgets, staffing, and resource allocation for care model development and oversight activities.
• Reporting & Communication: Provide regular updates to executive leadership on care model performance, outcomes, and opportunities for improvement.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive