CMO Aetna Better Health Of Michigan - Remote Eligible

Chief Medical Officer (CMO) for ABHMI

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.

Job Purpose and Summary:

The ABHMI CMO will serve as a strategic and operational partner to the Health Plan CEO, COO, CFO and other executive team members in Medicaid driving clinical excellence, achieving measurable health outcomes, and supporting quality and medical management in a highly matrixed environment. The CMO will also support national strategic processes and priorities as well as conceptualization, design, and implementation of strategic priorities for Medicaid. The State CMO will be responsible for cost containment outcomes and defined KPI's and overall growth and success of the plan through effective clinical leadership.

Primary Job Duties & Responsibilities:

1. Develop, implement, support, and promote population health strategies, tactics, policies, and programs that drive the delivery of high value healthcare to establish a sustainable competitive business advantage by supporting the plan goals.

2. Review, interpret and analyze data and trends at State level in: UM, CM, Pop Health and Health Equity in order to identify risks and opportunities for improvement

3. Serve as clinical executive leader for State regulators, providers, and other key partners. Serve as clinical leader for provider engagement and enablement.

4. Have oversight of the design, development, and deployment of Care Models and review medical care provided to Enrollees and medical aspects of the Provider Contract.

5. Ensure clinical programs are compliant with all national and state regulations including ensuring compliance with State and local reporting laws on communicable diseases, Child Abuse, and neglect

6. Management of the Quality Assessment and Performance Improvement Program (QAPI)

Required Qualifications:

1. At least five years' experience in the health care delivery system e.g., clinical practice and health care industry.

2. At least three years of experience Medicaid and managed care experience.

3. Must be a physician with a current, unencumbered license through the state of Michigan.

4. Board Certification in a recognized specialty including post-graduate direct patient care experience

Education : MD or DO Required Board Certification required in an ABMS or AOA recognized specialty.

Preferred Qualifications: 1. Demonstrated experience in population health management and Managed Care.2. Passion and ability to influence and drive better outcomes in healthcare delivery.3. Understanding of Value Based Contracting/Accountable Care and how this relates to improving the quality of care for our members through collaboration with the provider community.

Regular and reliable attendance. Travel will be required occasionally.

Pay Range

The typical pay range for this role is:

$184,112.00 - $396,550.00

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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.