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Executive Director, Service Operations – Medicaid Contact COE

United States, Hartford Employment contract 131500.00 - 303195.00 USD / Year · Job Posted May 29, 2026
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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. 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
  • Education: Bachelors degree or equivalent

What we offer

  • Medical, dental, and vision coverage
  • Paid time off
  • Retirement savings options
  • Wellness programs
  • Bonus, commission or short-term incentive program
  • Equity award program

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