Job Description
Location – must live or being to relocate to Illinois, Ohio, Michigan or Kansas.The Central Medicaid Division President will have profit and loss oversight driving growth, business results and management of a specific Medicaid division in Illinois, Ohio, Michigan and Kansas. The successful candidate will be a self-directed leader with a proven track record of success in growing and managing Medicaid businesses, including high acuity populations, in the managed care industry. This is a highly visible role across the Medicaid segment. This role requires the highest degree of integrity and ability to engage and influence at the senior-most levels of the organization. The individual should be a strong communicator with the ability to build enduring, trusting relationships and an understanding of how to accomplish objectives both directly and through influence in other areas of the business. Key Responsibilities:This position has full P&L accountability for growth, establishing and nurturing strategic external relationships with the State, providers, advocates, and community-based organizations ensuring compliance and sustainable profitability for all plans within the division. The ideal candidate will be well versed in all aspects of managed care, including Medical Management, Network, Value Based Contracting, Operations, Compliance, Business Development, Talent Acquisition and Talent Development.• Articulates a clear plan for growth, with a strong grasp of our Medicaid priorities, leveraging the strengths of the Enterprise.• Provides strategic direction and fosters a common vision and focus on business goals and objectives to meet and exceed revenue and membership for the division.• Reviews and approves Plan strategies by the CEOs in aligned division. Provides thought leadership for the Plans. • Develops and maintains knowledge of the Medicaid business across aligned division and anticipates the investments needed to meet emerging market needs. • Oversees the geographic portfolio development, implementing strategies to optimize growth and expansion. Monitors state conditions to identify and implement shifts in strategic direction as needed. • Cultivates strong internal relationships and connects with cross-functional leaders to ensure alignment. • Challenges the status quo to lead CVS Health/Aetna transformation agenda. • Builds, strong cohesive leadership teams and develops initiatives to assure retention of highly competent and motivated workforce; develops talent at all levels to ensure succession, breath, depth, and diversity.
Required Qualifications
Must live or being to relocate to Illinois, Ohio, Michigan or Kansas.Other – see below
COVID Requirements
COVID-19 Vaccination Requirement
CVS Health requires its Colleagues in certain positions to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, pregnancy, or religious belief that prevents them from being vaccinated.
- If you are vaccinated, you are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status within the first 10 days of your employment. For the two COVID-19 shot regimen, you will be required to provide proof of your second COVID-19 shot within the first 45 days of your employment. Failure to provide timely proof of your COVID-19 vaccination status will result in the termination of your employment with CVS Health.
- If you are unable to be fully vaccinated due to disability, medical condition, pregnancy, or religious belief, you will be required to apply for a reasonable accommodation within the first 10 days of your employment in order to remain employed with CVS Health. As a part of this process, you will be required to provide information or documentation about the reason you cannot be vaccinated. If your request for an accommodation is not approved, then your employment may be terminated.
Preferred Qualifications
• Dynamic large-scale Medicaid division leader with demonstrated general management acumen required to drive membership and revenue growth. • Demonstrated success in running a multi-million-dollar Medicaid P&L. • Experienced in driving innovation and new solutions leveraging the full breath of CVS Health assets to bolster market differentiation. • Strategic thinker, who is growth-oriented and can quickly understand the economics of the segment and the Company as well as the shifting needs of the states and the competitive landscape. • Experience leading and operating in a matrixed environment, excelling at cross-functional collaboration. • Proven long-term relationships with key external stakeholders including State Regulators. • Strong strategic leadership and critical thinker; establishes long and short-term goals; develops and drives execution of local divisional initiatives and strategy.• Drives a culture of compliance. • A proven groomer of talent; unafraid to take risks on talent that will challenge the division to think differently. • Align with the Heart at Work Behaviors of CVS Health – Put people first; Join forces; Inspire Trust; Rise to the Challenge; Create Simplicity
Education
Bachelors degree or equivalent required.
Business Overview
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.