VP, Chief Medical Officer - High Value Care

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Aetna is seeking to hire a Vice President & Chief Medical Officer (CMO) of High Value Care. This Aetna Medical Affairs leadership role will report directly to Aetna’s Senior Vice President & Chief Medical Officer.

The VP & CMO of High Value Care serves as the Medical Affairs leader accountable for driving high‑value care performance across lines of business by enabling, integrating, and coordinating the efforts of the Line of Business (LOB) CMOs, Network CMO, and their teams. The role is intentionally designed to accelerate LOB and Network clinical performance, while ensuring that Aetna’s highest‑impact clinical levers are executed with discipline, alignment, and measurable results.

This leader is accountable for Aetna-wide outcomes related to total cost of care, quality, and sustainability, achieved by establishing clear strategy, common measurement, transparent prioritization, and rigorous execution across LOBs. Success is defined by the ability to translate organizational strategy into coordinated action, drive performance, and ensure that LOB clinical teams are positioned to deliver against shared goals.

The role partners closely with business segment leadership, Network, Aetna Clinical Solutions, and the Aetna Medical Affairs COO to ensure that high‑value clinical strategies are consistently executed, monitored, and continuously improved across Medicare, Commercial, and Medicaid.

Key Responsibilities

Clinical Strategy & Performance Alignment

• Advances high‑value care strategy, ensuring alignment to Aetna’s affordability, quality, and experience objectives, and translating strategy into clear, actionable priorities across lines of business.

• Partners with Business leadership, LOB CMOs, Network, and Aetna Clinical Solutions to co‑develop a shared clinical roadmap, aligning organizational goals with LOB‑specific strategies and market needs.

• Establishes and maintains Medical Affairs-performance expectations and design frameworks for cross‑LOB value levers (e.g., care models, vendor partnerships, value‑based arrangements)

• Drives alignment on common performance metrics, targets, and reporting (e.g., PMPM, admissions per 1,000, ED visits per 1,000, MLRj, and med cost impact from clinical initiatives), enabling transparent tracking of progress and results across the organization.

• Provides enterprise‑level synthesis of insights across Medicare, Commercial, and Medicaid

Execution, Operating Rigor & Accountability

• Accountable for design and execution discipline for high‑value care initiatives, ensuring that priorities are clearly defined, sequenced, resourced, and delivered on time and with impact.

• Establishes and operates a standardized clinical operating model in partnership with the Aetna Medical Affairs COO, including shared roadmaps, integrated Gantt charts, dependency management, and clear ownership across LOBs and functions.

• Drives clarity around initiative ownership, milestones, interdependencies, and expected outcomes, holding the system accountable for execution and progress

• Actively monitors performance, identifies gaps or risks, and intervenes through alignment, escalation, or re‑prioritization to ensure enterprise goals are met.

• Anticipates regulatory, legislative, and market risks and mobilizes cross‑LOB leadership to align on mitigation strategies and course correction.

Cross‑LOB Capabilities, Measurement & Insight Generation

• Collaborates with medical economics and business leadership to proactively surface and manage enterprise trends, ensuring early identification of risk and opportunity and driving timely, coordinated response across lines of business.

• Leads development and continuous improvement of Medical Affairs capabilities for clinical measurement, evaluation, and analytics, collaborating closely with medical economics and enterprise analytics, to ensure consistent assessment of clinical and financial impact.

• Builds and oversees a best‑in‑class evaluation and measurement function supporting care models, vendor partnerships, and value‑based care arrangements, enabling data‑driven decisions and performance a