VP, Medicare Product - Aetna

CVS Health; Chicago (IL); On-site; USD 300,000 - 400,000; Full time

Benefits offered by this job

Health benefits

401(k) plan

Employee stock purchase plan

Wellness programs

Paid time off

Tuition assistance

Job summary

CVS Health is seeking an accomplished executive to lead the Medicare product strategy and portfolio at a national level, overseeing design, lifecycle, and regulatory filings. The role requires coordinating across Finance, Actuarial, Operations, Pharmacy, Legal, and Technology to drive growth and margin in a highly regulated environment.

The leader will guide the portfolio across Medicare Advantage, Part D, Duals, Group Medicare and ancillary offerings, ensuring competitive positioning and

Qualifications

• 15 plus years of healthcare experience leading complex product portfolios in a highly regulated environment.
• Strong knowledge of Medicare, especially Individual Medicare.
• Proven success setting strategy and leading a large-scale Medicare product portfolio including design, economics, lifecycle management and implementation.
• Deep understanding of Medicare product economics: design, pricing, affordability, growth and portfolio performance.
• Strong enterprise orientation connecting product strategy with business performance, market opportunity and long-term growth.
• Proven ability to influence senior executives and align across a highly matrixed organization.

Responsibilities

• Set the Medicare product strategy and 1‑to‑5‑year roadmap for the Medicare portfolio, aligning with growth objectives and customer value.
• Lead portfolio strategy across Medicare Advantage, Part D, Duals, Group Medicare and ancillary products.
• Shape product design, differentiation, and lifecycle strategies to strengthen competitive positioning.
• Oversee governance and execution of 700+ annual bid and product filings with regulatory compliance.
• Translate enterprise priorities into actionable product strategies and cross-functional execution plans.
• Partner with senior leaders to ensure financial soundness and operational feasibility of product decisions.
• Represent the Medicare business to external stakeholders, clients and policy audiences.
• Lead and develop a large product organization with strong leadership capability.

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.

The Vice President, Medicare Product sets the product strategy and leads the product portfolio for Aetna’s complex, multi-segment Medicare business. This executive is accountable for shaping differentiated products, driving portfolio performance, and aligning product decisions with enterprise growth, financial, and customer objectives across a Medicare business of approximately $90 billion.

The Vice President leads product strategy across Medicare Advantage, Medicare Part D, Duals, Group Medicare, and related ancillary offerings, ensuring the portfolio remains competitive, financially strong, operationally executable, and responsive to evolving market, regulatory, and customer dynamics.

Reporting to the SVP & President of Medicare, this leader defines the strategic direction for product design, innovation, lifecycle management, and portfolio performance across a national footprint. The role integrates business strategy, market opportunity, product economics, regulatory requirements, clinical and operational considerations, and customer needs into a cohesive portfolio agenda designed to drive growth, margin, quality, and long‑term competitive advantage.

In addition to product strategy, the Vice President holds significant accountability for product implementation and governance, annual bid and product filings, vendor management, and execution in accordance with applicable regulatory requirements.

This executive serves as a senior leader and thought partner across the Medicare organization, influencing decisions related to portfolio positioning, product evolution, implementation readiness, and go‑to‑market strategy. Success requires exceptional leadership within a highly matrixed organization and the ability to align Product, Finance, Actuarial, Sales, Marketing, Operations, Pharmacy, Network, Clinical, Compliance, Legal, Government Affairs, and Technology.

Key Responsibilities

• Medicare Product Strategy & Portfolio Leadership
  • Set the product strategy and 1-to-5-year strategic roadmap for the Medicare portfolio, aligning priorities with growth objectives, market opportunities, customer value, financial performance, and broader enterprise strategy.
  • Lead portfolio strategy across Medicare Advantage, Part D, Duals, Group Medicare, and ancillary products.
  • Shape product design, differentiation, innovation, and lifecycle strategies to strengthen competitive positioning and long‑term portfolio performance.
  • Guide portfolio decisions and investment tradeoffs, balancing growth, affordability, financial performance, regulatory requirements, customer needs, and execution risk.
  • Monitor evolving market dynamics, competitive trends, customer needs, and regulatory developments and translate them into actionable product strategies.
• Product Performance & Enterprise Execution
  • Drive product portfolio performance with a focus on growth, margin, affordability, quality, and customer value.
  • Translate enterprise and Medicare business priorities into actionable product strategies and execution plans.
  • Lead major cross‑functional product initiatives from strategy through implementation and market execution.
  • Build alignment across Actuarial, Finance, Operations, Clinical, Pharmacy, Provider Network, Sales, Marketing, Compliance, Legal, Government Affairs, and Technology.
  • Partner closely with senior leaders to ensure product decisions are financially sound, operationally feasible, and aligned with overall Medicare priorities.
• Vendor Management, Implementation, Governance & Regulatory Execution
  • Hold executive accountability for product implementation readiness and downstream execution across the Medicare portfolio.
  • Oversee the operational execution of 700+ annual bid and product filings, ensuring accuracy, timeliness, and disciplined governance.
  • Ensure filed benefits and product changes are accurately translated into systems, operations, vendor requirements, and member‑facing experiences.
  • Establish strong governance and controls across highly regulated, high‑risk processes where execution accuracy is critical.
  • Oversee key vendor relationships supporting product delivery and ensure execution aligns with business and regulatory requirements.
• External Representation & Strategic Partnership
  • Partner with Government Affairs, Legal, Compliance, and senior business leaders on Medicare policy developments, product implications, and strategic positioning.
  • Serve as a senior Medicare product subject matter expert in client discussions, industry forums, and select regulatory conversations.
  • Represent the Medicare business credibly with external stakeholders and bring external market perspectives back into portfolio strategy and decision‑making.
• Team & Leadership
  • Lead a large product organization.
  • Build, develop, and retain high‑performing leadership teams and strengthen organizational capability and succession depth.
  • Establish a strong leadership culture centered on strategic thinking, accountability, collaboration, execution excellence, and talent development.
  • Lead effectively through influence across a highly matrixed enterprise, creating alignment among stakeholders with differing priorities.

Qualifications

• 15 plus years of healthcare experience leading complex product portfolios and driving results within a highly regulated, large-scale healthcare environment.
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• Strong knowledge of Medicare required, especially Individual Medicare
• Demonstrated success setting strategy and leading a large-scale Medicare product portfolio, including product design, economics, lifecycle management, regulatory complexity, and implementation.
• Strong understanding of Medicare product economics, including the relationship among product design, pricing, affordability, growth, margin, and portfolio performance.
• A strong enterprise orientation and demonstrated ability to connect product strategy with business performance, market opportunity, customer value, and long‑term growth.
• Proven success leading major product initiatives from strategy through implementation, including complex launches, filings, operating‑model integration, and downstream execution.
• Demonstrated ability to influence senior executive decision‑making and build alignment across highly matrixed organizations.
• Strong judgment and the ability to balance growth, financial performance, competitive positioning, regulatory requirements, customer needs, and execution risk.
• Experience leading and developing large, high‑performing teams and building leadership capability and organizational bench strength.
• Strong financial and strategic acumen, including experience with product economics, operating plans, investment tradeoffs, and portfolio‑level performance decisions.
• Exceptional executive presence, communication, and stakeholder management skills.
• Credibility as a senior Medicare thought leader capable of representing the business effectively with clients, industry stakeholders, and policy and regulatory audiences.

Pay Range

The typical pay range for this role is:

$300,000 $400,000

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

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

For more information, visit https://jobs.cvshealth.com/us/en/benefits

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.