In this role, the VP, Medicaid CFO will support Aetna’s ability to achieve its financial and strategic goals by managing and driving business actions and financial goals across the segment and the enterprise. Partner with senior management teams within the segment to maintain financial and operational control of the business, develop insight and drive execution. Ensure effective support of financial closing, planning and forecasting processes. Such activities drive the quality and integrity of P&L/cost center owner level reporting, membership and/or expense forecasts, product reporting and balance sheet reporting.
Partner with senior management to drive results, analyze and support full P&L responsibility with current revenue of $13-14B. Demonstrates urgency and holds self and others accountable for achieving high standards of performance and service by partnering with other financial disciplines, e.g., actuarial, underwriting, to assure pricing, product and risk alignment with business unit financial performance targets.
RESPONSIBLE FOR MONTHLY OPS REVIEW WITH SR LEADERS
Identify emerging product/market trend vulnerabilities and opportunities through analysis and insight generation; develop and implement action plans for business growth.
Coordinate development and monitor implementation of major business unit action plans to seize competitive opportunities and/or respond to performance shortfalls/plan variances.
Coordinate with other financial disciplines/functions in support of business transactions, e.g., PIP arrangements, regulatory issues, analysis of legal entities, etc.
Identify, suggest, monitor, and track effective medical cost analysis through coordination with medical directors, network management, underwriting, etc.
Support the coordination and development of business unit financial plans and forecasting tools/processes. Provide financial analysis and recommendations in support of management’s evaluation of strategic and business initiatives.
BUDGETING AND FORECASTING
Drive the dissemination and collection of input/output data, critical assumption and management reporting requirements.
Lead development and implementation of business unit performance measures.
Develop processes and set infrastructure to measure, understand and monitor business unit results relative to action plans and milestones.
Enhance processes that drive accountability measurements throughout the organization.
Align resources with shared services to drive business unit focus. Provide project management support for critical action plans other initiatives that cut across business unit and/or Aetna.
Support business unit competitive intelligence analysis and benchmarking.
Monitor and evaluate risk and delegation arrangements; recommend appropriate financial protections.
Ensure appropriate financial controls are in place for shared services and business unit
Develop high performing financial unit that performs a function (e.g., medical cost analysis) and/or can assist in the financial and business issues support being provided to the business.
Provide coaching/mentoring and development to direct reports and ensures talent development best practices for full span of control.
20+ years of related financial management experience within a health insurance company
Strong knowledge of Medicaid
Supporting a large national P&L
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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