VP, Medicaid - Aetna Technology

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. Position Summary The VP, Medicaid of Aetna Technology will report to the Chief Digital and Technology Officer, Aetna and will play a vital role in overseeing and executing all aspects of technology solutions for our Medicaid business. This leader owns the multi‑year product and platform strategy; end‑to‑end engineering and operations for Medicaid‑enabling capabilities; and the roadmap that delivers compliant, reliable, and cost‑effective solutions supporting our Medicaid members, providers, state partners, and business operations. Success requires Medicaid domain expertise, enterprise engineering leadership, financial stewardship, and the ability to influence across business, clinical, actuarial, compliance, and state stakeholders. Key Responsibilities Oversee cross‑functional collaboration across Medicaid business units, technology teams, and growth partners to ensure seamless, efficient, and compliant operations. Identify opportunities for process improvement and operational optimization, developing technology‑enabled strategies that enhance efficiency, reduce friction, and improve service delivery. Direct end-to-end application development lifecycle for vendor provided and internally developed systems across a multi-state, multi-business environment. Develop and execute the technology platform strategy and investment roadmap, in collaboration with business units and corporate partners. Lead the implementation of automation tools, workflow systems, and digital capabilities to streamline Medicaid operational processes and increase overall productivity. Utilize data and analytics platforms to assess and improve performance, identifying trends, operational risks, and insights that drive better decision‑making and outcomes. Partner closely with the Medicaid CFO and financial leaders to develop budgets, forecast technology spend, manage expenses, and ensure alignment with financial goals and state/regulatory requirements. Develop, lead, and execute enterprise‑wide Medicaid technology initiatives, ensuring alignment with business strategy, regulatory timelines, and member/provider experience priorities. Manage and implement cost‑savings initiatives across the Medicaid technology portfolio, leveraging modernization, automation, cloud optimization, and operational improvements. Build and maintain strong relationships with internal stakeholders, external partners, vendors, state agencies, and industry associations, ensuring effective collaboration and trusted partnerships. Oversee Medicaid risk activities, ensuring the organization meets compliance, audit, security, and regulatory obligations across all systems and operations. Lead organizational change management efforts, with a strong focus on revenue growth, cost containment, reimbursement methodologies, and member and provider support functions. Required Qualifications 15+ years in healthcare technology with 7+ years leading large, complex engineering/product portfolios; Medicaid experience required. Proven delivery of enterprise‑scale platforms (millions of members/providers), with cloud, API/microservices, and data platform leadership. Strong command of claims/encounter processing, care & utilization management, provider data, interoperability (FHIR), MITA concepts, and HIPAA security/privacy. Track record of financial stewardship, vendor management, and multiyear modernization programs. Exceptional executive communication and cross‑functional influence; effective with state agencies and senior business partners. Ability to think strategically, and a strong focus on data‑driven decision making. Education Bachelor's Degree Pay Range The typical pay range for this role is: $0.00 - $0.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 06/08/2026. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr Hispanic Alliance for Career Enhancement