Senior Director, Florida Behavioral Health & Specialty Programs

4004 Aetna Medicaid Administrators; Florida; Hybride; USD 100 000 - 232 000; Plein temps

Avantages offerts par ce poste

Bonus eligibility

Résumé du poste

CVS Health seeks a Lead Director to shape and execute Florida Medicaid and children’s behavioral health and specialty programs. The role integrates clinical and business operations, strengthening providers and partnerships to improve access, quality, and outcomes within a complex care landscape.

You’ll lead cross-functional teams, drive program strategy, ensure regulatory compliance, and report to the Health Plan CEO. This is a full-time Florida-based leadership opportunity.

Qualifications

• 10+ years in Medicaid managed care, behavioral health, healthcare operations, or population health.
• Experience leading cross-functional program implementation and regulatory compliance.
• Residence within the state of Florida.

Responsabilités

• Lead development and implementation of Florida Medicaid behavioral health and specialty programs for children and adolescents with complex needs.
• Coordinate care management, utilization management, pharmacy, LTSS, quality, claims, member services, and network functions.
• Use data from claims, authorizations, pharmacy, and care-management systems to identify gaps and drive improvements in access, engagement, and outcomes.
• Partner with Quality and VBC teams to improve behavioral health outcomes and readmission metrics.
• Oversee BH vendors and providers for clinical effectiveness, ROI, and program integrity.

Connaissances

Medicaid managed care

Behavioral health

Data-driven decisions

Stakeholder management

Executive communication

Travel 20-30%

Formation

Bachelor’s degree

Description du poste

CVS Health seeks a Lead Director to shape and execute Florida Medicaid and children’s behavioral health and specialty programs. The role integrates clinical and business operations, strengthening providers and partnerships to improve access, quality, and outcomes within a complex care landscape.

You’ll lead cross-functional teams, drive program strategy, ensure regulatory compliance, and report to the Health Plan CEO. This is a full-time Florida-based leadership opportunity.