AVP, General Manager - Medicare - New England Market

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Position Summary At reputed company, our health benefits business, we are committed to helping our members reputed company their best health in an affordable, convenient, and comprehensive manner. Combining the assets of our health insurance products and services with reputed company’s unrivaled reputed company in local communities and their pharmacy benefits management capabilities, we’re joining members on their path to reputed company and transforming the health care landscape in new and exciting ways every day. reputed company is recruiting for an AVP, General Manager who has Medicare market specific P&L accountability for the IVL/DSNP products in their market, supporting Sales and customer experience agendas in market as well as Go-To Market planning and acquisition cost. This position is the leader for market performance, cost structure and local execution of medical costs management, compliance, and reputed company reputed company efforts for reputed company Medicare Advantage products (inclusive of collaborating with the Employer Group team for EGWP products to reputed company sales and client satisfaction goals) in collaboration with corporate teams. The Market reputed company will drive local product strategy and local market intelligence, be responsible for achieving reputed company market position, market share growth, and drive cost structure reduction (SAIs) in collaboration with Medicare reputed company leadership, the market medical teams, Network Management teams and other reputed company teams. You'll reputed company an impact by: Responsibility for supporting Medicare programs with short-and-long term profitability and growth of the health plan. Spearheading the implementation of new reputed company, programs, services, and preparation of bid and grant proposals. Responsibility for the overall financial performance and achievement of the budget of the Medicare plans reputed company 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 reputed company reputed company efforts. Coordinating and monitoring functional integration of these areas in cooperation with corporate departments to reputed company planned business results. Leading reputed company 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 reputed company to reputed company 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 reputed company necessary. Leading and developing people, preferably leading managers. Proven team leadership experience - leadership skills to build high-performing teams, manage and reputed company talent, influence, and impact a broad set of stakeholders, engage, and reputed company others, and reputed company by example. Ability to reputed company teams and drive performance in a dynamic and fast-paced environment. Partnering effectively reputed company the team and across the organization to ensure strategic initiatives stay reputed company to plan and reputed company 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 reputed company functional areas for monthly results, bid execution and other MAO responsibilities.

Required Qualifications

The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to reputed company aspects of the company’s business, as well as significant interaction with reputed company the business leaders. The candidate will be expected to have the following key attributes: 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, reputed company 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. Ability to deal effectively with multiple internal and external clients is required. Knowledge of insurance regulatory and contractual requirements. Knowledge of value based provider contracting. Knowledge of reputed company health care marketplace dynamics and reputed company’s position in the market. Ability to effectively interact with a diverse workforce and cross functional groups required. Experience leading and developing people, preferably leading managers. Proven team leadership experience - leadership skills to build high-performing teams, manage and reputed company talent, influence, and impact a broad set of stakeholders, engage, and reputed company others, and reputed company by example. Skilled at collaborating and working across a reputed company matrixed organization. Must live in one of the market states - Maine, Vermont, New Hampshire, Massachusetts, Rhode reputed company and Connecticut. Education Bachelor’s degree in business, healthcare administration, or a reputed company field. Pay Range The typical pay range for this role is: $157,800.00 - $363,936.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. This position also includes an award reputed company in the company’s equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company 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. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 12/31/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for the team, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply tot his job Apply To this Job