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CVS Health · 4 days ago

Executive Director, Clinical Health Services - Mental Well-being

Hartford, CT

Full-time

Onsite

Director/Executive

$184K/yr - $397K/yr

10+ years exp

CVS Health is a leading health solutions company dedicated to transforming health care. They are seeking an Executive Director for Clinical Health Services to lead the Mental Well-being team, guiding strategy and operations to improve health outcomes and manage costs through mental health expertise and data analysis.

Health CareMedicalPharmaceuticalRetailSales

Responsibilities

Support sales teams in finalist presentations by addressing clinical questions and explaining the care model

Collaborate with Clinical Operations (Employee Assistance Programs, Resources for Living, and On-Demand teams) and the Office of Health Care Affordability (OHCA) to advance affordability initiatives and adhere to specific, measurable actions tied to performance goals or compliance standards that are evaluated and scored (SAIs)

Analyze cost trends and work with network teams, Special Investigations Units, and other stakeholders to reduce costs and improve outcomes

Represent Aetna Mental Well-being at industry events, presenting analytics, clinical insights, and thought leadership on mental health and overall well-being

Partner with Aetna’s Performance Excellence Quality (PEQ) team to guide analytics design, interpret results, and present outcomes data to customers and industry leaders

Ensure efficient, effective delivery of healthcare services in collaboration with clinical operations

Work with senior clinical leadership, including the Chief Psychiatric Officer and Chief Medical Officer, to maintain clinical standards and policies

Develop strategies to improve member access, care quality, and affordability

Provide mental health expertise for HEDIS and NCQA initiatives in partnership with Quality teams

Offer clinical input for evaluating mental well-being vendors

Contribute to research and publications, supporting peer-reviewed submissions and initiatives to improve quality and total cost of care

Qualification

Population health experienceBehavioral health productsClinical strategyData interpretationHEDISNCQA knowledgeProject managementPublic speakingResearch contributionStrategic initiative drivingCollaboration skills

Required

10-15 years of population health experience including Total Cost of Care analysis, clinical strategy, clinical operations leadership, and value-based behavioral health initiatives

10+ years of experience working with behavioral health products

Strong ability to interpret analytics, guide data design, and present outcomes to internal and external stakeholders

Experience partnering with sales teams on finalist presentations, providing clinical expertise and addressing customer questions

Proven experience collaborating with senior clinical leadership to maintain standards and policies

Demonstrated success in developing strategies that improve access, quality, and affordability of care

Knowledge of HEDIS and NCQA quality measures with experience applying mental health expertise to these initiatives

Skilled in influencing senior leaders, building consensus, and driving strategic initiatives in complex, matrixed organizations

Experienced public speaker with direct engagement across customers, business leaders, and industry forums

Ability to evaluate mental well-being vendors and contribute to research and peer-reviewed publications

Strong project management capabilities, including financial, analytical, planning, and implementation

Understanding of clinical guidelines, best practices and the latest on evidence-based care

Clinical Licensure (LCSW, MD, MSW, PhD, PsyD or DBH) required

Benefits

Affordable medical plan options

401(k) plan (including matching company contributions)

Employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching

Paid time off

Flexible work schedules

Family leave

Dependent care resources

Colleague assistance programs

Tuition assistance

Retiree medical access