Executive COO - Medicaid Health Plan Operations

CVS Health Corporation; Columbia (MD); Hybrid; USD 132,000 - 303,000; Full time

Job summary

CVS Health Corporation seeks an experienced Chief Operations Officer for Aetna Better Health of Maryland, leading statewide Medicaid operations and strategic initiatives. The role emphasizes collaboration with the CEO, regulatory compliance, and cross-functional leadership across claims, provider services, and medical management.

The COO will advance operational excellence, oversee budgeting and performance, and build a diverse, high-performing team aligned with state requirements and health

Qualifications

• 10+ years of work experience in government programs such as Medicaid, Medicare, or Dual Eligible plans.
• 5+ years in executive leadership with proven operational proficiency.
• Demonstrated success with C-suite stakeholders and cross-functional teams.

Responsibilities

• Partner with Plan CEO to drive growth, operational excellence and performance.
• Oversee budget accountability, revenue targets and P&L performance.
• Lead provider operations, claims, COB/TPL, and medical management initiatives.
• Ensure compliance with state contracts and healthcare regulations.

Skills

Medicaid experience

Executive leadership

C-suite collaboration

Strategic planning

Regulatory navigation

Education

Bachelor's degree or equivalent

Job description

CVS Health Corporation seeks an experienced Chief Operations Officer for Aetna Better Health of Maryland, leading statewide Medicaid operations and strategic initiatives. The role emphasizes collaboration with the CEO, regulatory compliance, and cross-functional leadership across claims, provider services, and medical management.

The COO will advance operational excellence, oversee budgeting and performance, and build a diverse, high-performing team aligned with state requirements and health