CVS Health · 1 month ago
AVP, General Manager - Medicare - NY/NJ Market
CVS Health is a leading health solutions company dedicated to transforming health care. They are seeking an AVP, General Manager who will be responsible for Medicare market specific P&L accountability and will lead market performance, cost structure, and local execution for Medicare Advantage products in collaboration with corporate teams.
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Responsibilities
Responsibility for supporting Medicare programs with short-and-long term profitability and growth of the health plan
Spearheading the implementation of new contracts, programs, services, and preparation of bid and grant proposals
Responsibility for the overall financial performance and achievement of the budget of the Medicare plans within the Market
Direction of senior leaders of specific functional areas as assigned. Functional areas may include operations, sales, marketing, provider relations, network development, utilization management, and/or STARS/HEDIS quality improvement, and Revenue Integrity efforts. Coordinating and monitoring functional integration of these areas in cooperation with corporate departments to achieve planned business results
Leading all departments in the development, implementation and maintenance of policies and procedures to ensure compliance with the State and Federal regulatory requirements
Responsibility for the plan performance related to all required State and Federal audits
Responsibility for the management and organization of plan activities at the health plan as it relates to the Medicare business
Monitoring the budget in assigned functional areas and takes corrective actions when necessary
Leading and developing people, preferably leading managers. Proven team leadership experience - leadership skills to build high-performing teams, manage and develop talent, influence, and impact a broad set of stakeholders, engage, and inspire others, and lead by example. Ability to lead teams and drive performance in a dynamic and fast-paced environment
Partnering effectively within the team and across the organization to ensure strategic initiatives stay aligned to plan and elevate solutions to barriers and decisions needed to executive leaders at the highest levels of organization
Creating and executing a sustainable, and profitable-growth strategy
Accountability for working with Medicare segment functional areas for monthly results, bid execution and other MAO responsibilities
Qualification
Required
10+ years of relevant experience in line of business management
Deep knowledge of the Medicare business
Must have P&L expertise and possess a strong financial, bottom-line focus
Ability to deal effectively with multiple internal and external clients
Ability to effectively interact with a diverse workforce and cross functional groups
Strong facilitative leadership and business problem solving skills are required
Knowledge of insurance regulatory and contractual requirements
Knowledge of value based provider contracting
Knowledge of current health care marketplace dynamics and Aetna's position in the market
Experience leading and developing people, preferably leading managers
Proven team leadership experience - leadership skills to build high-performing teams, manage and develop talent, influence, and impact a broad set of stakeholders, engage, and inspire others, and lead by example
Skilled at collaborating and working across a complex matrixed organization
Must live in the market (NY or NJ) or nearby states (CT or PA) only
Benefits
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.
Company
CVS Health
CVS Health is a health solutions company that provides an integrated healthcare services to its members.
Funding
Current Stage
Public CompanyTotal Funding
$4BKey Investors
Michigan Economic Development CorporationStarboard Value
2025-08-15Post Ipo Debt· $4B
2025-07-17Grant· $1.5M
2019-11-25Post Ipo Equity
Leadership Team
Recent News
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2026-01-22
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2026-01-22
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