Executive Medical Director, Clinical Business Solutions

CVS Health

. Lead, coach, and develop a national team of clinicians across National Accounts, Large Group, and Public & Labor segments .

Posted 9/25/2026full-timeRemote • Connecticut • United StatesLead💰 $227,630 - $490,280 per yearWebsite

About the role

Key responsibilities & impact

Lead, coach, and develop a national team of clinicians across National Accounts, Large Group, and Public & Labor segments
Cultivate relationships with brokers, consultants, and plan sponsors
Lead clinical sales activities for high-profile prospects
Improve team operations, coverage, prioritization, preparation, and materials
Define the team coverage model and allocate clinical capacity based on pipeline value, retention risk, and strategic importance
Set standards for clinical narratives, presentation materials, and meeting preparation
Own hiring, onboarding, performance management, development planning, and succession
Serve as senior clinical leader for finalist meetings, RFP responses, and clinical strategy sessions
Develop strategic clinical messaging and articulate Aetna’s clinical differentiation
Keep Field teams current on Aetna’s clinical programs through briefings and training
Translate Aetna’s clinical program portfolio into prospect-specific value narratives
Support retention and growth through strategic client reviews, clinical roadmaps, and outcomes and affordability discussions
Interpret client-specific utilization, cost, and quality data and recommend clinical program actions
Own producer engagement with benefits consulting firms, brokers, and general agents
Lead clinical responses to consultant surveys, market scans, and program and vendor assessments
Represent Aetna at consultant forums, market events, industry conferences, and employer coalitions
Capture and channel customer, producer, and Field feedback into product and clinical roadmaps
Surface competitive gaps and emerging plan sponsor requirements
Maintain command of Commercial market dynamics, competitor strategy, health policy, and clinical program landscapes
Represent Commercial Medical Affairs in governance forums and cross-functional working groups
Ensure externally presented clinical claims are evidence-based, accurate, and defensible

Requirements

What you’ll need

MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine)
Active and current medical license (MD or DO) without encumbrances in at least one U.S. state
Minimum 8 years of post-training experience in Commercial health insurance, managed care, benefits consulting, or a medical management organization
Demonstrated experience in an externally facing, client-facing capacity
Deep working knowledge of employer-sponsored Commercial health insurance, including funding arrangements, benefit design, utilization management, care management, network, and pharmacy integration
Ability to translate clinical and claims data into a clear business narrative for non-clinical executive audiences
Exceptional executive presence and platform skills
Ability to establish credibility and build durable relationships with sophisticated external buyers and intermediaries
Experience leading, coaching, or formally mentoring clinical colleagues
Exceptional stakeholder management skills and ability to build coalitions across diverse, matrixed internal audiences
Ability to travel approximately 25–50% for client, producer, and Field meetings
Preferred: Established relationships within the national benefits consulting and broker community, or with large self-insured employers
Preferred: Prior formal responsibility for named consultant, broker, or general agent relationships
Preferred: Direct people-leadership experience over a clinical team
Preferred: Experience across National Accounts, Large Group, and/or Public & Labor segments
Preferred: Externally facing experience at a national health plan, benefits consultancy, health services company, point solution marketing to employer groups, or large self-insured employer
Preferred: Fluency in pharmacy benefit design, specialty drug trend, and integrated medical-pharmacy value stories
Preferred: Track record of external thought leadership

Benefits

Comp & perks

CVS Health bonus, commission or short-term incentive program
Equity award program
Medical coverage
Dental coverage
Vision coverage
Paid time off
Retirement savings options
Wellness programs
Other resources supporting physical, emotional, and financial well-being