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Executive Director, Chief Financial Officer

2 months ago

Austin, Texas, United States CVS Health Full time
Job Summary

The Executive Director, CFO Texas Medicaid Market role will function as the Chief Financial Officer for the Texas Medicaid Health Plan, and 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).
  • Collaboration 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.
Requirements
  • 8+ years of experience in Healthcare or insurance.
  • Experience in P&L management and leadership with budgets and 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 Hybrid Model (in office Tuesday / Wednesday / Thursday) in the Austin or Dallas office.
Preferred Qualifications
  • 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.