Medicaid Strategy & Analytics Director

4004 Aetna Medicaid Administrators; Illinois; Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Bonus eligibility

Equity awards

Job summary

CVS Health is seeking a Lead Director, Business Consulting to drive enterprise Medicaid initiatives and partner engagement. You will lead a team of Senior Managers, transform complex objectives into dashboards, and provide strategic guidance to executives on performance, risk, and outcomes.

The role emphasizes cross‑functional leadership, data‑driven decision making, and alignment with state requirements and member needs within a large healthcare enterprise.

Qualifications

• 8+ years of progressive leadership experience in healthcare, managed care, consulting, analytics, or business strategy.
• 5+ years leading high‑performing teams and people leaders.
• Significant experience within Medicaid managed care organizations, state Medicaid programs, or healthcare consulting environments.
• Demonstrated experience working with healthcare claims and encounter data to drive strategic decision‑making.
• Experience developing executive‑level reporting and performance management frameworks.
• Proven success managing cross‑functional initiatives involving multiple stakeholders and business units.

Responsibilities

• Lead the development, implementation, and oversight of reporting solutions supporting strategic Medicaid programs and state‑directed initiatives.
• Translate complex business objectives into actionable analytics, dashboards, and executive reporting.
• Identify opportunities to improve program performance through data‑driven insights and operational recommendations.
• Serve as a strategic advisor to executive leadership on program outcomes, emerging risks, and performance trends.
• Establish governance and reporting structures for state‑sponsored Medicaid initiatives, financial performance and program ROI, provider partnership performance, and community organization engagement.
• Develop executive‑level scorecards, KPIs, dashboards, and performance monitoring frameworks.

Skills

Leadership

Medicaid experience

Data analytics

Executive-level reporting

Cross-functional collaboration

Strategic thinking

Education

Bachelor's degree

Job description

CVS Health is seeking a Lead Director, Business Consulting to drive enterprise Medicaid initiatives and partner engagement. You will lead a team of Senior Managers, transform complex objectives into dashboards, and provide strategic guidance to executives on performance, risk, and outcomes.

The role emphasizes cross‑functional leadership, data‑driven decision making, and alignment with state requirements and member needs within a large healthcare enterprise.