Executive Director, DSNP Market Performance

🕒 May 9

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• Full ownership of financial performance, including budget attainment, margin improvement, and sustainable membership growth through disciplined revenue optimization, medical cost management, and administrative efficiency • Set and execute market strategy to improve competitive position, quality outcomes (STARs), network performance, and operational effectiveness • Serve as the senior executive relationship owner with state Medicaid agencies and regulators; represent plan interests with state officials, legislators, and industry associations • Ensure full compliance with all federal and state requirements; oversee audit readiness and accountability for regulatory performance • Lead local product design, bid development, and market intelligence efforts to support profitable growth, including oversight of supplemental benefits and delegated vendor partnerships • Strengthen provider, community, and stakeholder relationships to enhance member experience and provider satisfaction • Partner with Medicare, Medicaid, Duals segment leadership, and cross‑functional teams (network, clinical, quality, sales, marketing, operations) to deliver integrated results • Build and develop a high‑performing leadership team; set clear performance expectations and invest in successor and talent development • Lead readiness and execution for new contracts, programs, and expanded services

🎯 Requirements

• 15+ years of progressive leadership experience in managed care or healthcare, including direct responsibility for financial management • Demonstrated P&L ownership with a strong financial and results orientation • Deep expertise in integrated Medicare–Medicaid products, including DSNP/FIDE models • Strong knowledge of health plan operations, medical management, quality and STARs performance, provider networks, NCQA accreditation, and regulatory compliance • Proven ability to influence and lead within a complex, matrixed organization • Skilled in leading, influencing, and motivating teams to achieve high performance and outcomes • Strong executive presence, stakeholder management, and problem-solving skills • Willingness to travel within the Northeast Territory as required • Bachelor's degree required (advanced degree preferred)

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility