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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. Executive Director, Service Operations – Medicaid Contact Center of Excellence Aetna is seeking a transformative, enterprise-minded leader to serve as Executive Director, Service Operations – Contact Center of Excellence, with responsibility for leading our Medicaid member contact center. This role will oversee a large 24/7 operation supporting Medicaid members nationwide, with a focus on delivering exceptional member experience, operational excellence, and continuous innovation.
Job Responsibility
Setting the strategic direction and driving performance across a complex, high-volume service organization of 500+ colleagues in a work-from-home environment
Designing and executing a forward-looking service operations strategy aligned to enterprise priorities, the evolving regulatory landscape, and the unique needs of Medicaid populations
Partnering closely with Medicaid Plan CEOs and senior leadership to ensure alignment on service delivery, member experience, and operational outcomes
Working in close collaboration with the Technology Center of Excellence to advance digital capabilities, automation, and AI-driven solutions across the contact center
Establishing policies, programs, and operating models that support financial, operational, and service objectives
Leading end-to-end service operations processes and ensuring alignment with broader business strategy
Developing data-driven insights, forecasting, and financial plans to optimize performance
Overseeing large-scale operational initiatives, including transformation efforts, organizational design, and continuous improvement of service delivery
Driving a culture of accountability, empowerment, engagement, and high performance through strong people leadership, clear communication, and disciplined performance management
Ensuring consistent delivery against service standards, enhancing quality and efficiency, and elevating the overall member experience
Requirements
Approximately 10+ years of progressive leadership experience in service operations or contact center environments
Prior experience within a large health plan, managed care organization, or payer environment preferred
Proven success leading large, complex operations, including responsibility for 500+ colleagues across multiple geographies
Demonstrated experience leading transformation initiatives within contact center or service operations (e.g., workforce optimization, member experience redesign, technology enablement)
Strong understanding of Government Programs will be valued
Experience managing multi-million-dollar budgets with strong operational and financial acumen
Demonstrated ability to establish and manage KPIs at scale and drive performance outcomes
Experience partnering with Technology organizations
Familiarity with modern contact center platforms (e.g., GPS (Guided Personal Service) will be valued
Passion for leveraging AI and digital capabilities to enhance service delivery and member experience
Proven change management expertise with the ability to lead through transformation and organizational complexity
Strong track record of building, leading, and developing high-performing leadership teams
Demonstrated ability to influence senior leaders and operate effectively in a highly matrixed, enterprise environment
Executive presence with the ability to communicate clearly and effectively with stakeholders at all levels
Innovative mindset with a willingness to challenge the status quo and drive continuous improvement