Executive Director, Benefit and Quality Operations

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. At Aetna, our health benefits business is committed to helping members achieve their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with CVS Health’s unrivaled presence in local communities and pharmacy benefits management capabilities, we’re joining members on their path to better health and transforming the health care landscape in new and exciting ways every day. Aetna is seeking an Executive Director, Benefit and Quality Operations to lead quality assurance for claims platforms within the Business and Technology Shared Services organization. This role is responsible for ensuring the integrity of the end‑to‑end benefits payment process—from provider contracting through benefit configuration and claim adjudication. The Executive Director will define and execute the Aetna claims platform testing strategy and establish a robust QA operating model. This leader will ensure that all claims platform and benefits configuration releases are accurate, compliant, high‑quality, and financially sound. The ideal candidate brings proven experience standing up and leading a testing organization, deep technical expertise across complex claims environments (including legacy and mainframe systems), and strong executive presence to effectively influence cross‑functional partners. Success also requires familiarity with modern testing methods, including intelligent automation and emerging QA tools, applied pragmatically within a regulated industry.