Population Health Director - Aetna Michigan

New Yesterday

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position Summary Population Health management is built on a detailed understanding of the distribution of social, economic, familial, cultural, and physical environment factors which impact health outcomes among different geographic locations and groups (such as socioeconomic, racial/ethnic, or age), and the distribution of health conditions, health related behaviors and outcomes including but not limited to physical, dental, mental, and Health Related Social Needs among different geographic locations and groups (such as socioeconomic, racial/ethnic, or age). This is a fully remote position. Eligible candidates must reside in Michigan. Core 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. Required Qualifications 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 Preferred 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 Education Master’s degree or other advanced degree in nursing, social work, health services research, health policy, information technology, or other relevant field Pay Range The typical pay range for this role is: $110,467.00 - $237,930.00 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 We anticipate the application window for this opening will close on: 11/01/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Location:
Us
Job Type:
FullTime