Vp, Duals, CVS Health

CVS Health

Location:
United States, Hartford

Category:
Health and Beauty

Contract Type:
Employment contract

Salary:

220000.00 - 320000.00 USD / Year

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Job Description:

The VP of Duals is responsible for the national Duals (including FIDE and DSNP) Aetna business. This includes product & markets and provides strategic oversight for go-to-market planning, acquisition efforts, and operational execution. The leader will drive sales growth, member experience enhancement, and cost structure optimization through cross-functional collaboration and market intelligence.

Job Responsibility:

Owns financial performance for Duals markets on a national scale
Leads managers and/or directors across key functional areas—market leadership, product, operations, and sales/outreach—to ensure business goals are met
Oversees operations and directs initiatives related to enterprise contracts and communications
Guides departments in developing and maintaining policies that ensure compliance with all state and federal regulations
Ensures readiness and execution of all required federal and state audits related to plan performance
Manages health plan activities and functional budgets tied to the Duals business
Develops and motivates staff, overseeing employment decisions, performance reviews, compensation, and disciplinary actions
Collaborates with local market leadership to drive national product strategy, expand service areas, and explore new market opportunities
Provides guidance to Local DSNP Program Managers and Community Development teams
Partners with local Medicare leadership to ensure operational efficiency and optimal resource allocation across network, care management, STARs, and compliance
Works with Medicaid business development and market leaders to identify and pursue shared growth opportunities

Requirements:

15+ years of healthcare industry experience, including Medicare, Medicaid, and Exchange programs
Deep expertise in Duals-specific programs such as FIDE SNP, and DSNP
Proven success in value-based contracting and integrated care models
Experience leading large-scale, cross-functional initiatives in matrixed environments
Familiarity with CMS regulations, NCQA, HEDIS, and federal/state compliance frameworks
Familiarity with CMS requirements for D-SNPs, and FIDE SNPs
Understanding of state Medicaid contracts, integrated care models, and SNP advisory committee mandates
Strategic leadership with the ability to synthesize vision and deliver on concurrent initiatives
Financial acumen in managing P&L, budgeting, and cost structure optimization
Analytical thinking and data-driven decision-making
Strong communication and influence across executive stakeholders
Compliance and audit readiness expertise
Track record of developing and empowering talent, fostering open dialogue, and promoting cross-boundary collaboration
Ability to navigate complex organizational structures and influence change at all levels

What we offer:

Affordable medical plan options
a 401(k) plan (including matching company contributions)
and 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:
September 28, 2025

Expiration:
October 03, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Vp, Duals

CVS Health

Location:United States, Hartford

Category:Health and Beauty

Contract Type:Employment contract