CVS Health
VP, Aetna Better Health of Pennsylvania
CVS Health, Whitpain Hills, Pennsylvania, United States
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.
CEO – Aetna Better Health of Pennsylvania The CEO of Aetna Better Health of Pennsylvania is responsible 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 establish themselves as a thought leader and Aetna brand ambassador throughout the state, especially 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
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.
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.
Act as the face of the plan and build strong relationships with community‑based organizations, advocacy groups, and provider partners.
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.
Build and lead a high‑performing local leadership team, collaborating with Shared Services partners.
Foster a culture of accountability, innovation, and collaboration across the organization and with matrix partners.
Qualifications
10+ years of progressive leadership in managed care.
Strong knowledge of Medicaid.
7+ years in executive roles with P&L responsibility.
Proven success managing Medicaid plans and navigating complex regulatory environments.
Experience with RFP development, bid strategy, and oral presentations.
Knowledge of the Pennsylvania healthcare landscape.
Strong knowledge of value‑based care.
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 Typical Pay Range: $240,000 – $340,000. This range represents the base hourly rate or base annual full‑time salary for this position. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. The position may also receive a bonus and equity awards.
Benefits
Full range of medical, dental, and vision benefits.
401(k) retirement savings plan and Employee Stock Purchase Plan.
Fully‑paid term life insurance and short‑term and long‑term disability benefits.
Well‑being programs, education assistance, and free development courses.
CVS store discount and partner discount programs.
Paid Time Off (PTO) or vacation pay and paid holidays.
Other benefits consistent with state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/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.
#J-18808-Ljbffr
CEO – Aetna Better Health of Pennsylvania The CEO of Aetna Better Health of Pennsylvania is responsible 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 establish themselves as a thought leader and Aetna brand ambassador throughout the state, especially 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
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.
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.
Act as the face of the plan and build strong relationships with community‑based organizations, advocacy groups, and provider partners.
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.
Build and lead a high‑performing local leadership team, collaborating with Shared Services partners.
Foster a culture of accountability, innovation, and collaboration across the organization and with matrix partners.
Qualifications
10+ years of progressive leadership in managed care.
Strong knowledge of Medicaid.
7+ years in executive roles with P&L responsibility.
Proven success managing Medicaid plans and navigating complex regulatory environments.
Experience with RFP development, bid strategy, and oral presentations.
Knowledge of the Pennsylvania healthcare landscape.
Strong knowledge of value‑based care.
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 Typical Pay Range: $240,000 – $340,000. This range represents the base hourly rate or base annual full‑time salary for this position. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. The position may also receive a bonus and equity awards.
Benefits
Full range of medical, dental, and vision benefits.
401(k) retirement savings plan and Employee Stock Purchase Plan.
Fully‑paid term life insurance and short‑term and long‑term disability benefits.
Well‑being programs, education assistance, and free development courses.
CVS store discount and partner discount programs.
Paid Time Off (PTO) or vacation pay and paid holidays.
Other benefits consistent with state law and Company policies.
For more detailed information on available benefits, please visit
jobs.CVSHealth.com/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.
#J-18808-Ljbffr