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As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Senior Manager, Clinical Health Services plays a vital leadership role at Aetna Better Health of Virginia, overseeing the Maternal Health Team. This position is responsible for managing clinical team operations, fostering the development of high-performing teams, and ensuring the effective delivery of care management and coordination across the continuum of care—including assessment, planning, implementation, coordination, monitoring, and evaluation. The Senior Manager reports directly to the Senior Principal Clinical Leader.

In this role, the Senior Manager helps establish and implement processes that support the efficient and effective delivery of healthcare services. They assist in coordinating patient care, optimizing care manager workflows, driving quality improvement initiatives, and maintaining compliance with regulatory standards. The Senior Manager collaborates closely with interdisciplinary teams to enhance member outcomes and contribute to overall operational excellence in clinical settings.

This is a fully remote position with up to 35% in state travel. Eligible candidates must reside in Virginia.

What you will do

Oversees managers of multiple teams, ensuring alignment with strategic goals. Mentors managers and assists in succession planning.Oversees operational efficiency across teams, identifies process improvements, and ensures compliance with state and federal guidelines.Acts as a subject matter expert for clinical knowledge to key internal and external constituents in the coordination and administration of benefits management initiatives and objectives.Develops and enforces policies to maintain regulatory compliance. Leads audit preparation and corrective action plans.Implements quality improvement initiatives to enhance the member experience and drive key performance metrics.Collaborates with executive leadership, state agencies, and external partners to align care management strategies with organizational goals.Analyzes performance trends, identifies gaps, and develops strategies for improvement.Develops training programs to enhance clinical and operational competencies across teams.Leads organization-wide initiatives to improve service delivery, regulatory adherence, and cost-effectiveness.

Required Qualifications

Reside in VirginiaActive and unrestricted Virginia RN or Clinical BH Licensure (LPC, LCSW, LMFT)Willing and able to travel up to 35% anywhere in the state of Virginia2+ years of experience working directly with individuals who meet the Cardinal Care Priority Population criteria2+ years of leadership experienceExperience working in health care delivery systemsDemonstrated ability to communicate with Members who have complex medical or Social Needs and who may have communication barriers

Preferred Qualifications

2+ years' experience managing multiple direct reports3+ years' managed care experience with Aetna

Education

If BH clinician, minimum of a master’s degree in behavioral health field and clinical license is requiredIf RN, BSN degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$100,425.00 - $216,300.00

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 our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

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

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 07/30/2025

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