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

At Aetna, our health benefits business, we are committed to helping our members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health’s unrivaled presence in local communities and their pharmacy benefits management capabilities, we’re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day.

Aetna is seeking an Executive Director of Clinical Vendor Performance who will play a key leadership role in overseeing and optimizing the performance of clinical vendors and delegated entities. This position is responsible for driving improved health outcomes, ensuring regulatory compliance, and advancing cost‑efficient care delivery.

Key Responsibilities

• Strategy Development and Leadership: Develop and lead a comprehensive strategy for managing delegated partner performance, ensuring alignment with organizational goals and value-based care objectives.

• Governance Frameworks: Design and maintain effective governance frameworks to proactively identify, monitor, and mitigate performance risks within the delegated network.

• Performance Metrics: Define, track, and analyze key performance indicators (KPIs) across clinical, operational, financial, and compliance metrics to gain a holistic view of vendor effectiveness.

• Monitoring and Reporting: Implement robust monitoring and reporting mechanisms to track vendor performance against established benchmarks and service level agreements (SLAs).

• Continuous Improvement: Drive sustained improvement in delegated performance through continuous monitoring, identification of areas for enhancement, and implementation of corrective action plans when needed.

• Performance Reviews and Audits: Conduct regular performance reviews and audits of delegated entities to ensure compliance with contractual obligations, regulatory requirements, and organizational standards.

• Vendor Scorecards: Implement vendor scorecards to systematically assess and rate vendor performance on a regular basis (e.g., quarterly or annually).

• People Leadership: This role will be responsible for building a new team from the ground up and leading it to consistently achieve high performance.

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:

• 15+ years of Managed Care experience with a strong focus on clinical vendor management.

• Deep expertise in regulatory requirements, industry standards, and best practices for delegated vendor oversight.

• Provide robust clinical and operational leadership to shape vendor strategy and ensure high‑quality, member‑focused care delivery.

• Promote a culture of continuous improvement and innovation across vendor management processes and outcomes.

• Lead the development and execution of innovative clinical strategies that advance business goals and elevate care quality through external partners.

• Experienced in conducting quality oversight of clinical and operational vendors.

• Skilled in designing forward‑thinking clinical strategies that drive performance, efficiency, and member outcomes.

• Demonstrated leadership strength with a strong bias for operational execution and results.

• Proven ability to build a new team from the ground up and lead it to sustained high performance.

• Experienced working with federal, state, and regulatory agencies.

• Adaptable, collaborative, and effective in dynamic, changing environments.

• Strong business and financial acumen.

• Proven executive presence with the ability to engage and influence internal and external stakeholders.

• Operational expertise in building business models and analyzing complex data.

• Open to remote work opportunities across the United States.

Education

Bachelor’s Degree or equivalent experience.

Pay Range

The typical pay range for this role is:

$131,500.00 - $303,195.00

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 03/30/2026

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