Job Information
CVS Health Lead Director, Clinical Business Support Specialist - Aetna Commercial in Work at Home, Illinois
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 Lead Director, Clinical Business Support Specialist will sit on the Clinical Business Support team within Sales Enablement and will provide multi‑lateral clinical support to field and account teams, employers, and healthcare consultants. This role primarily supports Large Group customers located in the West and Central regions.
This role supports clinical discussions, presentations, and related activities to help commercial plan sponsors advance the quintuple aim —reducing costs, improving population health, optimizing patient and provider experiences, and driving awareness of equity and inclusion.
To achieve this, the Lead Director, Clinical Business Support Specialist will demonstrate leadership across the following core activities: high‑cost claimant reviews; periodic plan performance reviews; review and articulation of the company’s clinical models, programs, and point solutions; RFI/RFP support, capabilities presentations, and finalist meetings; partnering with consultants, brokers, and producers; answering clinically related account questions; and developing health promotion and prevention strategies.
This role will also be responsible for bringing the voice of the customer back to the organization to ensure customer needs are being met through the products and services offered. This includes partnering with numerous stakeholders across Aetna, as well as key business partners within the PBM and consumer businesses.
This is a fully remote position requiring approximately 25–50% travel for client meetings. Many client meetings are held in person; therefore, this role requires a moderate level of business travel across the Central and Western United States.
Required Qualifications
Clinically licensed healthcare professional (RN, PA, NP) with an active, unrestricted/unencumbered license
10–15 years of relevant work experience
5–10+ years of experience as a clinician or clinical leader with a large national health plan, consultant, or medical management company within the commercial healthcare space
Licensed healthcare professional (RN, PA, NP)
Ability to travel 25–50%
Preferred Qualifications
- Registered Nurse (RN), Advanced Practice Nurse (APN), or Physician Assistant (PA)
Education
BSN or relevant bachelor’s degree
Master’s degree preferred (MSN, MPH, MS, MHA, MMM, MBA, etc.) or equivalent experience
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,540.00
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. This position also includes an award target in the company’s equity award program.
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 (https://learn.bswift.com/cvshealth-mainland) .
We anticipate the application window for this opening will close on: 05/02/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
CVS Health is an equal opportunity/affirmative action employer, including Disability/Protected Veteran — committed to diversity in the workplace.