Description

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 Pennsylvania has the responsibility for growing and leading the CHIP, Community Health Choices and Health Choices businesses in Pennsylvania. 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. The CEO must strive to establish themselves as thought-leader and Aetna brand ambassador throughout the state, particularly through interactions with state agency leaders and community-based partners who serve the beneficiaries of Medicaid (TANF, LTC/LTSS, ABD) and CHIP programs.

Key Responsibilities:

Strategic & Financial Leadership

• Lead all aspects of the PA 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 State
• 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 the plan and building strong relationships with community-based organizations, advocacy groups, and provider partners.

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.

Pay Range
The typical pay range for this role is:
$240,000 - $340,000

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 in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off ("PTO") or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.

For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits

Qualifications:

• 10+ years of progressive leadership in managed care
• Strong knowledge of Medicaid required
• 7+ years in executive roles with P&L responsibility will be highly valued
• Proven success managing Medicaid plans and navigating complex regulatory environments.
• Experience with RFP development, bid strategy, and oral presentations highly valued.
• Knowledge of the Pennsylvania 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 PA or relocate to PA

Education:

• Bachelor's degree or equivalent

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• 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.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 01/21/2026

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