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Chief Executive Officer

Remote, GA, USA | CVS Health

  • Industry:
    Healthcare - Hospitals
  • Position Type:
  • Functions:
    General Management
    Strategy
  • Experience:
    10-12 years
Job Description:
128 people have viewed this job

Aetna Better Health is Aetna’s Medicaid managed care plan. Backed by over 30 years of experience managing the care of those with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help when you need it is essential to better health. That’s why Aetna® Medicaid plans include the guidance and support needed to connect our members with the right coverage, resources and care. We are focused on enhancing quality and population health outcomes while integrating CVS assets to bring accessible healthcare to our members.


The Chief Executive Officer has the responsibility for growing and leading the Medicaid business in Georgia. This includes general administration and implementation of all contract requirements, including ownership of profit and loss: meeting revenue, maintaining, and growing membership, network adequacy, member and provider satisfaction and operating income plans.


LOCATION – Must live in Georgia or be willing to relocate to Georgia


Key responsibilities :


•Establishes and maintains an efficient innovative approach to for reviewing/assessing the State contract, providing consistent contract reporting, and suggesting actions to improve services to the State agency.

• Communicates state agency requirements for program implementations; coordinates with internal resources to implement contract requirements; communicates ongoing implementation progress with representatives of the State and regulatory agencies

• Achieves and maintains full understanding of the contract/requirements, programs, and policies, including service scope, special service features, history of service issues, and contact with State representatives.

• Creates a macro-environmental view of competitive landscape, regulatory and legislative impact to the plan.

• Develops safety net provider relations, provider services, community involvement and promotes awareness of the plan.

• Strategic planning and development of operating plan to support business operations.

• Builds commitment and support of matrix partners to achieve shared business goals.

• Works with management team to develop quality improvement and cost savings initiatives.

• Motivates and leads a high-performance management team, with a focus on recruiting, training, developing, and retaining experienced staff.


Pay Range


The typical pay range for this role is:

Minimum: $250,000.00

Maximum: $350,000.00


Please keep in mind that this range represents the pay range for all positions in the job grade within which this position falls. The actual salary offer will take into account a wide range of factors, including location.


Required Qualifications


• 10+ years progressive management experience in managed care with demonstrated experience with of P&L leadership.

• Knowledge and experience of Medicaid principles and strong State Regulator relationship management.

• Experience with RFP bid responses and orals presentations will be highly valued.

•Experience with all aspects of successful plan management: Compliance and Regulatory Oversight, Member Experience, Provider Engagement Strategy, Member Advocacy/Outreach/Retention, Quality Management/Outcomes, Population Health/Heath Equity/ SDOH, Network Development and overall Operational Execution

•Value Based Contracting experience will be valued.

• Proven ability to work successfully within a matrix environment and influence internal stakeholders.

• Growth mindset and strong relationship management skills

• Strong people management skills and proven experience leading teams thru growth and change.

• Strong relationship management skills – internal stakeholders and external.

• Proven ability to effect change, meet business goals, monitor progress, and take corrective actions when necessary.

• Proven ability to understand business strategies and formulate concise solutions to complex problems.

• Aligns with the values of CVS Health – Innovation, Collaboration, Caring, Integrity, Accountability.


COVID Requirements


COVID-19 Vaccination Requirement


CVS Health requires certain colleagues 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, religious belief, or other legally recognized reasons that prevents them from being 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 or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.


Preferred Qualifications


• Advanced Degree


Education


• Bachelor’s Degree


Business Overview


Bring your heart to CVS Health Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. 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.


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