Chief Executive Officer, Aetna Better Health of Te

Company: CVS Pharmacy
Location: Dallas
Posted on: September 17, 2020

Job Description:

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Chief Executive Officer, Aetna Better Health of Te

Chief Executive Officer, Aetna Better Health of Te Apply Now Job Title: Chief Executive Officer, Aetna Better Health of Te Job ID: 72995BR Location: TX-Dallas|TX-Austin Street Address: 2777 Stemmons Freeway Category: Aetna Better Health Job Description

This leader will have the responsibility for the Aetna Better Health of Texas plan and will reside in Texas. The Chief Executive Officer (CEO) has accountability and authority for administration and implementation of all contract requirements, including ownership of profit and loss: meeting revenue, maintaining and growing membership, network adequacy, member and provider satisfaction and operating income plans. Some travel is expected to meet and engage with key stakeholders such as State Regulators, Hospitals, Home Health Agencies, Nursing Facilities, FQHCs and individual provider networks.

Fundamental Components

Establishes and maintains a system for reviewing/assessing the State contract, for reporting regarding the contract, and for suggesting actions to improve services to the State agency.

Will be solely assigned to the contract, with overall responsibility for the administration of the contract and daily operations, including managing the budget.

Communicates State agency requirements for program implementations; coordinates with internal resources to implement contract requirements; communicates ongoing implementation progress with representatives of the State and regulatory agencies.

Achieves and maintains full understanding of the contract/requirements, programs and policies, including service scope, special service features, history of service issues, and contact with State representatives.

Implements contract requirements.

Macro-environmental view of competitive landscape, regulatory and legislative impact to the plan.

Develops safety net provider relations, provider services, community involvement and promotes awareness of the plan.

Strategic planning and development of operating plan to support business operations.

Builds commitment and support of matrix partners to achieve shared business goals.

Works with management team to develop quality improvement and cost savings initiatives.

Motivates and leads a high-performance management team, recruiting, training, developing and retaining experienced staff.

Background Experience

Approximately 10 years progressive management experience in managed care or a health care related position, with demonstrated experience with all aspects of financial management within medical delivery and/or managed care systems.

Knowledge and experience of Medicaid principles and State Regulator relationship management valued and preferred.

Effective technical skills regarding health plan administration, profit and loss accountability, medical management, business development, member engagement, quality outcomes, NCQA accreditation, contract compliance, provider satisfaction, value-based contracting, local marketing/community outreach and state government affairs.

Proven ability to work successfully within a matrix environment and influence internal stakeholders.

Openness to leading nationwide virtual teams.

Must currently live in Texas or ties to Texas and willing to relocate to Texas.

Align with the values of CVS Health – Innovation, Collaboration, Caring, Integrity, Accountability

Education

Bachelor's degree or equivalent experience

Percent of Travel Required

0 - 10%

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Keywords: CVS Pharmacy, Dallas , Chief Executive Officer, Aetna Better Health of Te, Other , Dallas, Texas