VP, Medicaid Health Plan Florida

2 days ago

Melbourne, Victoria, Australia CVS Health Full time US$120,000 - US$250,000 per year

At CVS Health, 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 reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

The CEO of Aetna Better Health of Florida is responsible for leading a high-performing, market-competitive Medicaid health plan. This executive will oversee all aspects of business operations, including financial performance, regulatory compliance, network development, and clinical outcomes. With full P&L accountability, the CEO will drive strategic growth, ensure operational excellence, and foster strong relationships with state regulators, legislative leaders, and community stakeholders.Key Responsibilities:Strategic & Financial Leadership
  • Lead all aspects of the Florida Medicaid plan's operations, with full accountability for financial performance, membership growth, and quality outcomes.
  • Manage the P&L, ensuring fiscal responsibility, profitability, and alignment with enterprise goals.
  • Drive strategic planning and execution to meet state priorities and business objectives.
Regulatory & Government Relations
  • Serve as the primary liaison with the Florida Agency for Health Care Administration (AHCA), CMS, and other regulatory bodies.
  • Ensure compliance with all contract requirements and proactively manage audits, reporting, and policy changes.
  • Represent the plan in legislative and regulatory forums, building trust and credibility with state leaders.
Community & Stakeholder Engagement
  • Act as the face of Aetna Better Health of Florida, building strong relationships with community-based organizations, advocacy groups, and provider partners.
  • Promote the Aetna brand and mission across the state, particularly among stakeholders serving TANF, LTC/LTSS, ABD, and CHIP populations.
Operational Excellence
  • Oversee the development and execution of clinical programs that address population health priorities and improve health equity.
  • Ensure the delivery of high-quality, culturally competent care through a robust, value-based provider network.
  • Prioritize member and provider satisfaction through continuous improvement initiatives.
Team Leadership
  • Build and lead a high-performing local leadership team, plus collaborate with the Shared Services partners.
  • Foster a culture of accountability, innovation, and collaboration across the organization and with matrix partners.
Location: remote but must live in Florida and travel is expectedQualifications:
  • 10+ years of progressive leadership in managed care
  • 7+ years in executive roles with P&L responsibility will be valued
  • Proven success managing Medicaid plans and navigating complex regulatory environments will be valued
  • Experience with RFP development, bid strategy, and oral presentations highly valued.
  • Strong knowledge of Medicaid will be highly valued
  • Knowledge of the Florida's healthcare landscape will be valued
  • Strong knowledge of VBC will be valued
  • Strong understanding of compliance, quality management, population health, and social determinants of health (SDOH).
  • Demonstrated ability to lead through change and drive performance in a matrixed environment.
  • Exceptional relationship management, communication, and strategic thinking skills.
  • Strong people leadership and team-building capabilities.
  • Ability to influence internal and external stakeholders and drive alignment across functions.
  • Must live in Florida or relocate to Florida
Education:
  • Bachelor's degree or equivalent
We anticipate the application window for this opening will close on: 11/17/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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