Director, Operations & Strategic Initiatives

CVS Health • Work At Home-Florida, FL

1d • $100,000 - $231,540

About The Position

The Director, Operations & Strategic Initiatives advances the Florida Medicaid health plan’s priorities by leading complex initiatives that improve operational performance, member outcomes, quality, and the experience of members and providers. The role works across the organization to translate strategy into action and ensure critical projects and business priorities are executed effectively and deliver meaningful results. It reports directly to the Plan CEO and is part of the health plan leadership team.

The Director leads strategic and operational initiatives, manages a portfolio of cross-functional projects and transformation efforts, and coordinates with shared services and other partners. The position also leads vendor strategy, governance, and performance; supports organizational readiness and implementation for policy, regulatory, contractual, system, and operational changes; and monitors outcomes using measures such as HEDIS, CAHPS, quality measures, access standards, operational metrics, and population health outcomes. The role builds relationships with providers, community organizations, vendors, and state stakeholders and ensures initiatives support contractual compliance and operational excellence.

The position requires 10 or more years of managed care experience, strong cross-functional collaboration and project management skills, experience with data analysis and executive presentations, and willingness to travel 10–20% as needed. A bachelor’s degree or equivalent work experience is required. The stated annual pay range is $100,000 to $231,540. The position is full-time and eligible for a CVS Health bonus, commission or short-term incentive program, an equity award target, and a benefits package that includes medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Requirements

• 10 or more years of managed care experience, with a strong understanding of healthcare operations, business processes, and industry trends.
• Demonstrated experience collaborating with and partnering across cross-functional stakeholders, including senior leaders, business partners, and operational teams, to drive strategic initiatives.
• Strong relationship management skills and the ability to influence, build trust, and foster alignment across diverse stakeholder groups.
• Experience developing executive-level presentations and presentation materials, including PowerPoint decks, and facilitating discussions with senior leadership.
• Solid project management experience, including leading complex initiatives, managing multiple priorities, and ensuring successful delivery of business objectives.
• Three years of analyzing and problem-solving skills, with the ability to synthesize complex data, identify trends, and develop actionable recommendations.
• Experience using data to tell a compelling business story and translate insights into strategic recommendations that support decision-making and measurable outcomes.
• Demonstrated ability to support and influence business decisions through data analysis, reporting, and performance measurement.
• Excellent verbal and written communication skills, including the ability to present complex information clearly to executive and non-technical audiences.
• Willingness and ability to travel 10–20% as needed for business meetings, stakeholder engagement, and project support.
• Bachelor’s degree or equivalent work experience.

Nice To Haves

• Master’s degree (MBA, MHA, MPH, or related field).
• PMP and/or Lean Six Sigma certification.
• Florida Medicaid managed care experience.
• Experience with Medicaid procurements, readiness reviews, and state implementations.
• Experience leading population health and quality improvement initiatives.

Responsibilities

• Partner with plan leaders to develop strategy and drive outcomes.
• Coordinate across shared services partners in Clinical, Quality, Operations, Network, Finance, Compliance, Claims, Member Services, and IT.
• Drive alignment, solve business challenges, and support implementation of organizational priorities.
• Oversee a portfolio of cross-functional initiatives, manage competing priorities, and keep the health plan responsive to Florida Medicaid requirements, regulatory changes, and business needs.
• Lead strategic and operational initiatives for the Florida Medicaid health plan in alignment with organizational priorities and business objectives.
• Lead vendor strategy, governance, and performance to maximize value, strengthen accountability, and align with Florida Medicaid regulatory, operational, and member needs.
• Translate strategic goals into implementation plans with clear milestones, accountability, and measurable outcomes.
• Direct and coordinate multiple large-scale, cross-functional projects and transformation efforts simultaneously.
• Represent the Florida Medicaid health plan on enterprise initiatives requiring Florida-specific activities.
• Drive organizational readiness and implementation activities related to Medicaid policy changes, state and federal regulations, contractual requirements, system implementations, and operational enhancements.
• Collaborate with health plan leaders to define deliverables from shared services partners, including Clinical, Quality, and Population Health teams, for implementations focused on behavioral health, chronic disease management, preventive care, maternal health, and LTSS.
• Monitor and evaluate program outcomes using KPIs, including HEDIS, CAHPS, quality measures, access standards, operational metrics, and population health outcomes.
• Ensure initiatives support contractual compliance while maintaining operational excellence.
• Build and maintain relationships with providers, community organizations, vendors, and state stakeholders to support strategic objectives and successful program implementation.

Benefits

• Medical coverage.
• Dental coverage.
• Vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs.
• Other resources, based on eligibility.
• Eligibility for a CVS Health bonus, commission, or short-term incentive program.
• An award target in the company’s equity award program.

What This Job Offers

• Job Type: Full-time
• Career Level: Director