Chief Operations Officer, Medicaid Health Plan

CVS Health Corporation; Richmond (VA); Hybrid; USD 132,000 - 303,000; Full time

Benefits offered by this job

Comprehensive benefits

Paid time off

Retirement plan

Wellness programs

Job summary

CVS Health Corporation is seeking a senior executive to lead operations for its Medicaid-focused health plan initiatives. The Chief Operations Officer will shape strategic direction, oversee core functions from claims to member services, and drive efficiency and quality across large-scale programs.

Based in the Maryland/DC/Northern Virginia region, this hybrid role emphasizes collaboration with regulators, providers, and internal partners to deliver better health outcomes while managing costs

Qualifications

• 10+ years of work experience reflecting a proven track record of government programs such as Medicaid, Medicare, or Dual Eligible plans.
• 5+ years of experience in executive leadership roles with proven track record of proficiency in the operational competencies noted.
• Demonstrated success with C-suite stakeholders.
• Ability to work collaboratively across many teams, prioritize demands from those teams, synthesize information received, and generate meaningful conclusions.

Responsibilities

• Drive growth, operational excellence, and overall business performance.
• Oversee financial management of the health plan, including budget accountability, revenue target achievement, and P&L performance.
• Collaborate with corporate functional leaders and centralized shared services teams to drive operational effectiveness and business results.
• Provide leadership and oversight across core operational areas, including Claims systems, COB, pharmacy claims, call center operations, and encounter data management.

Skills

Executive leadership

Strategic planning

Communication skills

Stakeholder management

Negotiation skills

Education

Bachelor's degree

Job description

CVS Health Corporation is seeking a senior executive to lead operations for its Medicaid-focused health plan initiatives. The Chief Operations Officer will shape strategic direction, oversee core functions from claims to member services, and drive efficiency and quality across large-scale programs.

Based in the Maryland/DC/Northern Virginia region, this hybrid role emphasizes collaboration with regulators, providers, and internal partners to deliver better health outcomes while managing costs