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Executive Director, Chief Financial Officer
2 months ago
At CVS Health, we are committed to delivering enhanced human-centric healthcare for a rapidly changing world. As a key member of our team, you will play a critical role in driving our financial and strategic goals.
Job SummaryThe Executive Director, Chief Financial Officer, Texas Medicaid Market will serve as the Chief Financial Officer for the Texas Medicaid Health Plan. This role will lead the respective markets' ability to achieve its financial and strategic goals by managing and driving business actions and financial goals across the Plan, Aetna Medicaid segment, and Aetna Health Care Business unit.
Key Responsibilities- Partner with the Texas Medicaid CEO and be an integral part of the Texas Medicaid C-suite team to maintain financial and operational control of the business.
- Lead a team of 10+ Finance professionals responsible for managing the financial close, forecasting, and planning processes, as well as manage standard and ad hoc financial report submissions to and audit reviews by the State Medicaid Agency.
- Leverage prior experience to ensure the quality and integrity of P&L/cost center owner level reporting, membership and/or expense forecasts, product reporting, and balance sheet reporting.
- Collaborate with constituent areas, including Actuarial, Service Operations, Clinical, Network, and Medical Economics, to execute on growth and expense management priorities.
- Be a strong leader with demonstrated executive presence and positive energy within the Company and with external stakeholders (Texas Health and Human Services Corporation (HHSC) and Texas Association of Health Plans (TAHP)).
- Collaborate with the MCO Coalition partner Plans and lead others outside the Company toward the shared success of the Medicaid program(s).
- Develop and present new opportunity business cases to senior leaders.
- Provider contracting negotiations, including fully/partially capitated, value-based, risk-sharing, and profit-sharing arrangements.
- 8+ years of experience in Healthcare or insurance.
- Experience in P&L management and leadership with budgets, forecasts.
- Experience in development of plans and identification of risks and opportunities.
- P&L ownership and key financial metrics.
- Experienced leader in building teams, developing employees, and hiring.
- Travel up to 25%.
- Ability to work in a Hybrid Model (in office Tuesday/Thursday) in the Austin or Dallas office.
- Medicaid product pricing.
- Health Plan Operations.
- Provider contracting and reimbursement methodologies.
- Medicaid, Medicare, or Commercial health insurance products and financial drivers.
- Experience in Financial analysis, trends, projections, and analytics.
At CVS Health, we offer a comprehensive benefits package, including medical, dental, and vision benefits, a 401(k) retirement savings plan, an Employee Stock Purchase Plan, and a fully-paid term life insurance plan. We also offer numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. Additionally, we provide Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.