Description

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

The Senior Manager, Clinical Health Services - Commercial Clinical Liaison serves as the clinical subject matter expert (SME) for the Program Strategy Team, representing Aetna's Care Management capabilities during sales presentations, RFP responses, and product development discussions. This role bridges clinical expertise with strategic business initiatives to ensure that care management solutions align with client needs, regulatory requirements, and organizational goals.

This is a fully remote position, open to candidates residing anywhere within the contiguous United States. Occasional travel, approximately 10-20%, is required for onsite client meetings as needed.

Key Responsibilities

• Act as the clinical voice in sales and client-facing activities, including RFP responses, finalist presentations, and product demonstrations.
• Collaborate with sales, product, and strategy teams to design and articulate care management solutions that differentiate Aetna in the marketplace.
• Review and contribute to proposal content, ensuring accuracy and compliance with clinical standards.
• Provide clinical insights for new product development and enhancements, focusing on evidence-based care management practices.
• Support client onboarding by explaining care management workflows, clinical protocols, and program outcomes.
• Maintain current knowledge of industry trends, regulatory changes, and competitive landscape in care management.
• Serve as a liaison between clinical operations and business development to ensure alignment of capabilities and commitments.

Required Qualifications

• Registered Nurse (RN) or another clinical license required
• 7+ years of relevant clinical experience
• 2+ years operations leadership experience within a care management payer organization (understanding workflows, compliance, and performance metrics).
• 5+ years in care management, utilization management, or population health
• 2+ years' experience supporting new account implementations and client onboarding.
• Strong understanding of clinical workflows, quality metrics, and regulatory requirements.
• Excellent communication and presentation skills; ability to translate clinical concepts for non-clinical audiences.
• Proficiency in Microsoft Office Suite
• Ability to work cross-functionally in a fast-paced, matrixed environment.
• Advanced knowledge of problem solving and decision-making skills
• Strong multi-tasking abilities with the ability to handle competing deadlines; flexible and adaptable.
• Ability to deal tactfully with customers and community.
• Advanced communication skills used to lead a team.
• Advanced execution and delivery (planning, delivering, and supporting) skills
• Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
• Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.
• Mastery knowledge of phases of care transitions and resources available for patients.
• Mastery of digital literacy skills.
• Ability to handle sensitive information ethically and responsibly.

Preferred Qualifications

• Experience in sales support, RFP processes, or client presentations strongly preferred.
• Familiarity with value-based care models and health plan operations.
• Strategic thinking and ability to influence stakeholders.

Education

Master's degree or equivalent years of experience.

Equivalent years of experience defined by CVS Policy: If candidate has associate's degree, additional 4 years of experience is needed. If candidate has bachelor's degree, an additional 2 years of experience is required.

Anticipated Weekly Hours
40

Time Type
Full time

Pay Range

The typical pay range for this role is:

$90,382.00 - $194,670.00

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.

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.

We anticipate the application window for this opening will close on: 06/20/2026

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