Executive Director, Healthcare Affordability

CVS Health

10d • Remote

About The Position

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 Executive Director, Healthcare Affordability, is a key leader within the Healthcare Affordability team, responsible for driving Aetna’s cost-of-care initiatives and monitoring short- and long-term medical cost trends. This role combines strategic oversight with clinical insight to develop innovative care models and deliver enterprise-level cost containment strategies.

Requirements

• Approximately, 15 years in a large health insurer or managed care organization with deep expertise in cost containment strategies.
• Strong understanding of the healthcare continuum, including Cost of Care, Medical Trend, Utilization Management, Care Management, Network, Value-Based Contracting, Payment Integrity, and Policy.
• Proven ability to drive enterprise-level initiatives, influence across a matrixed organization, and present to senior leadership.
• Proficiency in Medical Economics, trend analytics, and key financial metrics; ability to identify root causes and develop actionable solutions.
• Experience in strategic and business planning, accounting, and financial analysis.
• Executive presence and communication skills
• Problem-solving and decision-making
• Collaboration and stakeholder engagement
• Growth mindset and adaptability
• Ability to lead complex projects and cross-functional teams
• Bachelors degree.

Nice To Haves

• Masters will be valued.

Responsibilities

• Oversee Aetna’s Healthcare Affordability analysis and initiatives, ensuring execution of defined management processes and alignment with enterprise goals.
• Collaborate with Medical Directors and clinicians to design and implement new care models targeting specific clinical programs.
• Partner with Medical Economics, Actuarial, Finance, and Market Performance teams to analyze cost patterns, set utilization benchmarks, and identify actionable insights.
• Leverage clinical expertise and operational knowledge to interpret rising medical cost trends and propose data-driven solutions.
• Facilitate Healthcare Affordability business meetings, manage agendas, and provide progress updates to senior leadership.
• Design scalable methodologies to enhance project and process management effectiveness across business units.
• Directly manage a team of three Healthcare Affordability Strategists and oversee transition of SAI ownership to execution teams.
• Serve as a trusted advisor and backup for the VP, Healthcare Affordability when required, ensuring continuity of leadership and strategic direction.

Benefits

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for all 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive
• Number of Employees: 5,001-10,000 employees