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Avp, general manager - medicare - ny/nj market

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
Sales

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Contract Type:
Not provided

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Salary:

157800.00 - 363936.00 USD / Year
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Job Description:

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Job Responsibility:

  • 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
  • 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
  • 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
  • Accountability for working with Medicare segment functional areas for monthly results, bid execution and other MAO responsibilities

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
  • Ability to effectively interact with a diverse workforce and cross functional groups
  • Strong facilitative leadership and business problem solving skills are required
  • Knowledge of insurance regulatory and contractual requirements
  • Knowledge of value based provider contracting
  • Knowledge of current health care marketplace dynamics and Aetna’s position in the market
  • Skilled at collaborating and working across a complex matrixed organization
  • Must live in the market (NY or NJ) or nearby states (CT or PA) only
  • Bachelor’s degree in business, healthcare administration, or a related field
What we offer:
  • Affordable medical plan options
  • a 401(k) plan (including matching company contributions)
  • an 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

Additional Information:

Job Posted:
February 20, 2026

Expiration:
March 20, 2026

Employment Type:
Fulltime
Work Type:
Remote work
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