VP, Health Plan Quality - Aetna

Job 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. The Vice President, Health Plan & Provider Quality provides enterprise leadership for quality performance, regulatory compliance, and accreditation readiness across all Aetna Clinical Solutions lines of business. This role integrates health plan quality, provider quality oversight, and clinical data enablement into a unified quality strategy that improves clinical outcomes, member experience, and external quality performance. The VP is accountable for driving results across HEDIS, CAHPS, Stars, and value‑based arrangements through clinically informed, data‑driven improvement strategies. The role ensures quality standards are consistently applied, performance is transparent and actionable, and ACS maintains strong credibility with regulators, accre...