Aetna Technology Medicaid Director Product Portfolio

CVS Health • Downers Grove, IL

11d

About The Position

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 CVS Health is embarking on a bold digital agenda to transform health care and empower millions of customers on their path to better health. We are creating innovative, enterprise digital solutions that make health care more accessible, integrated, and reliable for more people. We are looking for passionate, driven individuals who want to join a high-energy and growing team to make a difference in the lives of our Medicaid members and be on the ground floor of digital innovation. The Director of Product for a Portfolio for Aetna Medicaid Technology is responsible for product management leadership for one or more digital product domains supporting Medicaid members, care, providers, claims, states and /or systems integration. This people manager (player/coach) role owns and defines the product vision and strategy, roadmap, feature delivery, and overall success of the product to enable a best-in-class end-to-end experience for Medicaid populations. You will be in the markets understanding our users. You will have research of Medicaid and our competitors understood and communicated across the ecosystem for all to benefit. You will also be a player and be expected to manage a backlog of features and enablers to enhance the product and extend its architectural and discovery runway. You are accountable for overall product health, inclusive of technical health, and risk communication. You will provide guidance on sequencing and prioritizing investments to optimize value and ensure compliance with CMS and state Medicaid requirements. This role partners closely with the Business General Manager, Design, Engineering, and Data/Analytics forming the ‘Five in a Box’ cross-discipline product portfolio team. You will also serve as the main point-of-contact with other stakeholders such as architects, tech-ops, security, and compliance to ensure overall cohesion for your product or experience.

Requirements

• 10+ years of experience in product management, preferably in healthcare or regulated industries
• Proven ability to deliver digital products at scale with measurable outcomes
• Understanding of CMS and state Medicaid requirements and ability to translate them into product features
• Experience with Agile frameworks (Safe) and backlog management (Rally-Jira)
• Excellent communication and stakeholder management skills
• Ability to tell a story by understanding the problem, prioritizing value and leading an empowered team
• Demonstrated collaboration and empathy amongst Product, Design, Engineering, Business GM and End User’s to conduct Discovery and Framing and build an MVP from 0-1, to a Most Marketable Product (with Outcomes and Value)
• Ability to coach and develop (upskill) existing colleagues to foster a greater culture towards a 'scalable' product operting model. (ie Training, Coaching, I do, You do, We do.)

Nice To Haves

• Experience with Medicaid operations (UM/CM), provider portals, or member engagement solutions
• Familiarity with FHIR APIs, EDI transactions (834/835/837), and prior authorization workflows
• Exposure to accessibility standards (WCAG) and health equity initiatives
• Agile certification (CSPO, SAFe) or PMP
• Bachelor’s degree required; advanced degree

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: Director