Hybrid AVP, General Manager – Medicare

at CVS Health

• Job title: AVP, General Manager – Medicare
• Job type: Full Time
• Experience level: Lead
• Salary: $157,800 - $363,936 per year
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, New York City, United States

About the role

• AVP, General Manager in charge of Medicare market strategy and profitability at Aetna. Leading teams to achieve budget goals and compliance in New York and New Jersey areas.

Responsibilities

• Responsibility for supporting Medicare programs with short-and-long term profitability and growth of the health plan
• Spearheading the implementation of new contracts, programs, services, and preparation of bid and grant proposals
• Responsibility for the overall financial performance and achievement of the budget of the Medicare plans within the Market
• Direction of senior leaders of specific functional areas as assigned
• Functional areas may include operations, sales, marketing, provider relations, network development, utilization management, and/or STARS/HEDIS quality improvement, and Revenue Integrity efforts
• Coordinating and monitoring functional integration of these areas in cooperation with corporate departments to achieve planned business results
• Leading all departments in the development, implementation and maintenance of policies and procedures to ensure compliance with the State and Federal regulatory requirements
• Responsibility for the plan performance related to all required State and Federal audits
• Responsibility for the management and organization of plan activities at the health plan as it relates to the Medicare business
• Monitoring the budget in assigned functional areas and takes corrective actions when necessary
• Leading and developing people, preferably leading managers
• Proven team leadership experience - leadership skills to build high-performing teams, manage and develop talent, influence, and impact a broad set of stakeholders, engage, and inspire others, and lead by example
• Ability to lead teams and drive performance in a dynamic and fast-paced environment
• Partnering effectively within the team and across the organization to ensure strategic initiatives stay aligned to plan and elevate solutions to barriers and decisions needed to executive leaders at the highest levels of organization
• Creating and executing a sustainable, and profitable-growth strategy

Requirements

• 10+ years of relevant experience in line of business management
• Deep knowledge of the Medicare business
• Must have P&L expertise and possess a strong financial, bottom-line focus
• Ability to deal effectively with multiple internal and external clients
• Strong facilitative leadership and business problem solving skills
• Knowledge of insurance regulatory and contractual requirements
• Knowledge of value based provider contracting
• Experience leading and developing people, preferably leading managers

Benefits

• Affordable medical plan options
• 401(k) plan (including matching company contributions)
• 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