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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.Position SummaryThe Executive Director, CFO Texas Medicaid Market role will function as the CFO 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. The CFO of the Texas Medicaid Health Plan will be responsible for managing the performance of over $3B in annual revenue as well as serve as a leader within the Texas Medicaid program since Aetna will be a market share leader within the statewide program.The Market CFO will:
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).
Developing and presenting new opportunity business cases to senior leaders
Provider contracting negotiations, including fully/partially capitated, value-based, risk sharing and profit sharing arrangements.
Required Qualifications
8+ yrs 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 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
Pay RangeThe typical pay range for this role is:$131,500.00 - $303,195.00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company’s equity award program.In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefitsWe anticipate the application window for this opening will close on: 10/28/2024Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.We are an equal opportunity and affirmative action employer. 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.