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CVS Health CEO of Aetna Better Health of Kansas in Overland Park, Kansas

Job Description

Aetna, a CVS Health company is seeking to hire a Chief Executive Officer for its Kansas Medicaid business. The Chief Executive Officer (CEO) has the responsibility for growing and maintaining the Medicaid business in Kansas. 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.

Required Qualifications

• 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. • Responsible for managing the budget • 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.

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 30 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 60 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 30 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

• Minimum of 10 years progressive management experience in managed care or a health care related position, with demonstrated experience with all aspects of business development and financial management within a medical delivery and/or managed care systems. • Knowledge and experience of Medicaid principles and strong State Regulator relationship management. • Effective technical skills regarding health plan administration, profit and loss accountability, medical management, business development, member engagement, quality outcomes, NCQA accreditation, contract compliance, provider satisfaction, value-based contracting, local marketing/community outreach and state government affairs. • 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. • Strong analytical and critical thinking skills. Focus on driving disciplined, fact-based decisions, and executing with discipline and urgency. • Proven ability to effect change, meet business goals, monitor progress, and take corrective actions when necessary. • Strong financial management and negotiation skills. • Proven ability to understand business strategies and formulate concise solutions to complex problems.• Align with the values of CVS Health – Innovation, Collaboration, Caring, Integrity, Accountability.

Education

Bachelor's degree or equivalent experience

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.

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