Lead Director, Medicare Advantage Part D Strategy & Business Intelligence

4062 Aetna Resources, LLC; Rogers (AR); On-site; USD 100,000 - 232,000; Full time

Benefits offered by this job

Bonus program

Equity awards

Comprehensive benefits

Job summary

CVS Health in the United States seeks a seasoned analytics leader to guide MAPD, Medicare Part D, and PDP initiatives. You will translate financial, operational, regulatory, and consumer insights into executive-ready recommendations that support growth, retention, margin, and enterprise value creation.

The role drives multi-year MAPD strategy, market evolution, benefit design, and pharmacy economics while influencing cross-functional teams in a matrixed organization.

Qualifications

• 10+ years of experience in healthcare strategy or related leadership functions.
• Strong knowledge of MAPD, Part D, PDP, CMS regulations, Stars and pharmacy economics.
• Ability to translate data into actionable executive-level insights and narratives.
• Experience with executive reporting, dashboards, KPIs, forecasts and performance measurement.
• Exceptional PowerPoint and data-visualization skills with cross-functional influence.
• Advanced analytical skills including scenario development and business impact assessment.

Responsibilities

• Provide strategic analytics and business leadership for MAPD, Part D and PDP.
• Translate insights into executive-ready recommendations to drive growth and margins.
• Lead development of multi-year MAPD strategic expectations and market evolution.
• Develop executive reporting, dashboards and KPI forecasts for leadership reviews.

Skills

Executive leadership

Data visualization

Forecasting

Healthcare strategy

MAPD knowledge

Stakeholder influence

Executive communication

Cross-functional leadership

Analytical mindset

AI/ML awareness

Education

Bachelor's Degree

Tools

PowerPoint

Dashboards

Forecasting tools

Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Position Summary

Provides strategic analytics and business leadership for Aetna's MAPD, Medicare Part D, and PDP businesses, translating financial, operational, competitive, regulatory, and consumer insights into executive-ready recommendations that support growth, retention, margin, and enterprise value creation. Leads development of multi-year MAPD strategic expectations, including market evolution, benefit design, pharmacy economics, competitive positioning, regulatory change, and expected enterprise impacts.

Required Qualifications

• 10+ years of experience in healthcare strategy, Medicare Advantage, Part D, actuarial, finance, consulting, product, analytics, or related healthcare leadership functions.
• Strong knowledge of MAPD, Medicare Part D, PDP, CMS regulations, Stars, pharmacy economics, healthcare markets, and industry dynamics.
• Demonstrated ability to synthesize complex data into actionable business insights, strategic recommendations, and executive-level narratives.
• Experience developing executive reporting, business reviews, dashboards, KPIs, forecasts, and performance measurement tools.
• Exceptional PowerPoint, data visualization, executive communication, and cross-functional influence skills.
• Advanced analytical skills, including forecasting, trend analysis, scenario development, and business impact assessment.
• Experience using AI, machine learning, generative AI, or advanced analytical tools to identify trends, risks, and business process improvements preferred.
• Strong strategic thinking, problem-solving, ownership, intellectual curiosity, and bias toward action.
• Proven ability to influence senior stakeholders, lead cross-functional initiatives, and drive alignment in a matrixed organization.

Preferred Qualifications

N/A

Education

Bachelor's Degree required.

Pay Range

The typical pay range for this role is: $100,000.00 - $231,540.00 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

Application Window

We anticipate the application window for this opening will close on: 10/08/2026

Equal Opportunity Statement

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

Our Work Experience

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people.

Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.