Executive Director, National Specialty Value‑Based Care Partnership
Core
Enterprise owner of Aetna's national specialty Value-Based Care (VBC) strategy, overseeing provider partnerships, clinical vendor governance, and performance across Medicare, Medicaid, and Commercial markets.
Role type
Senior IC Executive Director (Healthcare Strategy & Operations)
Builds
National specialty VBC programs supporting 20+ markets and hundreds of thousands of attributed lives
Domain
US Healthcare Insurance / Value-Based Care / Specialty Medicine
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure
Required skills
Healthcare strategy, value-based care models, network contracting, risk-based arrangements, regulatory compliance, cross-functional leadership, financial modeling, market expansion, KPI monitoring
Preferred skills
Medicare Advantage/Medicaid/Commercial VBC experience, Behavioral Health/Mental Health programs, Specialty VBC launches (MSK, Cardiology, Oncology)
Technologies
CMS reporting systems, clinical delegation platforms, vendor management tools
Responsibilities
Set multi-year direction for national specialty VBC strategy; oversee full lifecycle of specialty provider partnerships from sourcing to governance; make executive decisions on complex provider agreements; lead escalation across markets and clinical operations; convene senior leaders to align on strategic priorities; drive enterprise affordability outcomes through negotiation and risk model optimization
Seniority
Executive, enterprise-level strategy & organization building
