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. Job Purpose and Summary: Join a mission-driven organization at a transformative moment in employer-sponsored health care. As Executive Medical Director, Clinical Business Solutions at Aetna, a CVS Health company, you will lead the clinical team that serves as the clinical voice to our Commercial plan sponsors, prospects, and their advisors, demonstrating how Aetna’s clinical capabilities reduce cost, improve population health, and strengthen the member and provider experience. Reporting directly to the Vice President, Chief Medical Officer, Commercial & Innovation, you will direct a national team of clinicians (MD, RN, NP) providing clinical support to Aetna’s National Accounts, Large Group, and Public & Labor businesses, in close partnership with Field and Account teams. You will lead and continuously improve the operations of the team to raise the level and quality of clinical support delivered to the Field, while sharing directly in its external work — including personally cultivating and holding relationships with key brokers, consultants, and plan sponsors. The role is deliberately bidirectional. You will bring the voice of the customer and the producer community back into the organization, partnering with Clinical Operations, Medical Affairs, Commercial Product, and others to ensure our clinical offerings reflect what the market requires. <p
Executive Director, Chief Operations Officer - Aetna Better Health of Maryland
Salary not disclosed
Check market pay for comparable Executive Director roles before applying.
Role market pulse
How Executive Director demand looks in United States
Live jobs
8
Posted 30d
7
30d movement
Early signal
Remote share
0%
Salary listed
12.5%
Salary trend 1Y
Not enough history
Role overview
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
Aetna Better Health is Aetna’s Medicaid managed care plan. Backed by over 30 years of experience managing the care of those with a broad array of health care needs, our Medicaid plans have demonstrated that getting the right help when you need it is essential to better health. That’s why Aetna® Medicaid plans include the guidance and support needed to connect our members with the right coverage, resources, and care. We are focused on enhancing quality and population health outcomes while integrating CVS assets to bring accessible healthcare to our members.
Aetna Better Health of Maryland is seeking an experience leader with vast operational knowledge of Medicaid for its state-wide managed Medicaid business in the role of Chief Operations Officer (COO). The COO role will be strategic and committed to developing colleagues as well as relentlessly pursuing change that is best for the organization and its customers. The COO role will collaborate with the CEO to develop the strategic vision of the Health Plan, policies & procedures, and operational objectives including leading RFP readiness efforts. The COO will oversee high level strategic and operational activities of various plan functional areas which include traditional service operations (Claims, Provider Services, Information Technology, Grievance & Appeals and Member Services) as well as Medical Management (Quality, Network, Compliance, Health Equity, Medical Directors, Utilization Management, Vendor Management). These activities may include colleague productivity, building and maintaining a highly inclusive and diverse culture as well as ensuring team members thrive and organizational outcomes are met.
Major Responsibilities
- Partner with the Plan CEO to drive successful growth, operational excellence, and overall business performance.
- Oversee financial management of the health plan, including budget accountability, revenue target achievement, and P&L performance.
- Collaborate with corporate functional leaders and centralized shared services teams to drive operational effectiveness and business results.
- Provide leadership and oversight across core operational areas, including: Claims systems and processing, Third-Party Liability (TPL) and Coordination of Benefits (COB), Pharmacy claims operations and their impact on total cost of care, Call center operations and performance and Encounter data management and processing.
- Lead and support provider operations activities, including: Provider data management, Credentialing, Provider relations, Network development and contracting, and Value-based care contracting and performance initiatives.
- Drive strategies that enhance provider experience while managing medical costs and improving operational outcomes.
- Ensure compliance with all applicable state contracts, regulations, executive orders, and healthcare industry requirements.
- Partner with Government Affairs and Legal teams to address regulatory, legislative, and compliance-related matters.
- Serve as a key advocate with internal stakeholders, state regulators, policymakers, and other external partners.
- Build and maintain strong relationships with community-based advocacy organizations and industry stakeholders.
- Oversee communications and engagement strategies for members and providers.
- Support and promote community-based programs that address Social Determinants of Health (SDOH), including housing, employment, Community Health Workers (CHWs), Peer support specialists and nutrition and food access initiatives.
- Apply expertise in the integration of physical and behavioral healthcare, with a strong understanding of the unique needs of the Medicaid population.
- Represent the organization externally with regulatory agencies, state departments, community partners, and other key stakeholders.
- Act as a trusted executive leader and extension of the CEO, providing strategic leadership both internally and externally.
The COO will oversee business operations performance and employee productivity, building and maintaining our highly inclusive and diverse culture, ensuring team members thrive, and organizational outcomes are met. Lead people, build/maintain relationships while driving talent and culture development.
Required Qualifications
The candidate will have a strong work ethic, be a self-starter, and be able to be highly productive in a dynamic, collaborative environment. This position offers broad exposure to all aspects of the company’s business, as well as significant interaction with all the business leaders. The candidate will be expected to have the following key attributes:
- 10+ years of work experience reflecting a proven track record of government programs such as Medicaid, Medicare, or Dual Eligible plans.
- 5+ years of experience in executive leadership roles with proven track record of proficiency in the operational competencies noted.
- Demonstrated success with C-suite stakeholders.
- Ability to work collaboratively across many teams, prioritize demands from those teams, synthesize information received, and generate meaningful conclusions.
- Ability to conceive innovative ideas or solutions to meet clients’ requirements.
- Excellent communication and relationship management skills and being able to express thoughts in an organized and articulate manner.
- Ability to build a climate of trust and respect with regulators, external stakeholders, as well as colleagues, peers, and our internal growth partners.
- Proven leadership and negotiation skills.
- Demonstrated leadership with meaningful initiatives such as business process optimization, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, risk management.
- Track record of success driving major initiatives across complex and matrixed organizations
- Manage capital portfolio to support growth and provider/member incentives.
- Recent and related managed health care experience.
Specific State Qualifications/Requirements
- Candidates must reside near the Maryland metropolitan area (Maryland, Washington DC, or N. Virginia) with the ability to work two days a week in the Columbia, MD office.
Preferred Qualifications
- Knowledge of the Maryland HealthChoice Program and the functional responsibilities of a Maryland HealthChoice Managed Care Organization (MCO).
- Knowledge of the Code of Maryland Regulations (COMAR).
Education
Bachelor's degree or equivalent work experience.
Pay Range
The typical pay range for this role is:
$131,500.00 - $303,195.00
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.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
What they are looking for
Skills & requirements
Qualification
5+ years of experience in executive leadership roles with proven track record of proficiency in the operational competencies noted
Hiring company
Cvshealth
Explore this employer's active roles, salary signals and company profile on Jobiba.
Keep exploring
Similar active roles
Fresh roles matched to this title and market.
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 CVS Health is seeking a highly strategic Executive Director, Chief of Staff, reporting to the Senior Vice President, Chief Operating Officer for Pharmacy Services. This leader will be responsible for shaping, and advancing key business priorities, translating strategy into coordinated execution, and strengthening accountability and operating discipline across the organization. The Chief of Staff will serve as a strategic thought partner to the Chief Operating Officer for Pharmacy Services and his direct leadership team. This leader will play a critical role in driving clarity, alignment, and execution on initiatives of substantial scale, visibility and complexity. This individual will bring structure to complex business issues, anticipate risks and opportunities, and help ensure focus on the initiatives with the greatest operational, financial, client, and enterprise impact. Key Responsibilities Strategy Development and Execution Partner with the Chief Operating Officer to shape strategic priorities and translate them into actionable plans and measurable business outcomes. Lead complex, high-visibility, cross-functional initiatives spanning multiple teams and business areas. Ensure organizational priorities align with broader Pharmacy Services and enterprise objectives. Anticipate barriers, identify risks, and
We're looking for a Senior Operations Director for Revenue & Services who will serve as a trusted advisor to the Chief Commercial Officer, Professional Services leadership and other senior leaders. This role will shape how Professional Services operates, scales, forecasts, and performs, while driving alignment across Operations, Revenue, Sales and Finance. This role will connect services to broader business strategy, with a focus on cross-functional alignment, profitable growth and corporate results. WHAT YOU’LL DO: Shape and evolve the operating model for Revenue and Services, includingProfessional Services to enable scalable, predictable and profitable growth: forecasting methodology, capacity planning, utilization and margin management, and delivery-to-revenue alignment Set the strategic roadmap for services operations and operating infrastructure, including systems architecture (resource management, CRM integration, financial systems, data and reporting) and where to invest next Act as the strategic partner to Professional Services leaders translating business strategy and operating plans into performance targets. Represent services performance directly to executive leadership and the board Partner with President, Chief Commercial Officer, Finance leaders to evaluate profitable and growth opportunities, operating leverage, organizational capabilities, technologies and external partnerships. Lead deal desk strategy for services and deal governance, including pricing frameworks, SOW structuring, and margin guardrails, in partnership with Sales and Legal Partner in quarterly and annual planning for services capacity and revenue targets, and defend the plan directly to Finance and executive leadership Establish and drive a consistent operating cadence and process framework, including KPIs, business reviews, planning, forecasting, and reporting across the full customer lifecycle, identifying where PS operations should own versus influence
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 The Lead Director, Corporate Communications will support the business objectives of the Chief Pharmacy Officer and Head of Specialty Operations by helping to develop and lead the execution of a communications strategy that advances key business and enterprise priorities. This role will drive communications in support of CVS Specialty’s business objectives while also leading executive communications, thought leadership opportunities, and content development that strengthen the voice and visibility of the Chief Pharmacy Officer across internal and external channels. The Lead Director will help shape communications that advocate for the evolving role of the pharmacist and advance the practice of pharmacy in alignment with the education and training of these professionals. In addition, this role will support communications strategy and execution for CVS Specialty, helping translate business priorities into clear, compelling messaging that underscores key differentiators of the business, including its focus on simplifying the patient experience, optimizing clinical outcomes through expert care and personalized support, and improving experiences through market-leading innovation and technology. This role requires a highly skilled communications leader who can counsel senior executives, translate complex healthcare and business issues into clear and compelling messaging, and o
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. Executive Director, Technology Product Management – Medical Cost Initiatives Location: Remote Department: Healthcare Technology & Product Management Reports To: VP, Chief Health Informatics Officer (CHIO) - CVS Healthcare Delivery Role Overview As the Executive Director, Digital Product – Medical Cost Initiatives , you will lead the technology product strategy and execution for key medical cost portfolios for CVS Healthcare Delivery businesses. Core areas of focus are Care Transitions, Patient Segmentation, Chronic Condition Pathways, and Specialty Care Services. In this high-impact executive role, you will partner directly with clinical and business operational leaders to shape end-to-end technology pathways that support CVS Healthcare Delivery care models. You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical vision into scalable technology roadmaps that optimize patient outcomes and lower the total cost of care. The ideal candidate must have expertise with value-
GitLab is the intelligent orchestration platform for DevSecOps. GitLab enables organizations to increase developer productivity, improve operational efficiency, reduce security and compliance risk, and accelerate digital transformation. More than 50 million registered users and more than 50% of the Fortune 100* trust GitLab to ship better, more secure software faster. The same principles built into our products are reflected in how our team works: we embrace AI as a core productivity multiplier, with all team members expected to incorporate AI into their daily workflows to drive efficiency, innovation, and impact. GitLab is where careers accelerate, innovation flourishes, and every voice is valued. Our high-performance culture is driven by our values and continuous knowledge exchange, enabling our team members to reach their full potential while collaborating with industry leaders to solve complex problems. Co-create the future with us as we build technology that transforms how the world develops software. * Fortune 500® is a registered trademark of Fortune Media IP Limited, used under license. Claim based on GitLab data. Fortune 100 refers to the top 20% ranked companies in the 2025 Fortune 500 list, published in June 2025. Fortune and Fortune Media IP Limited are not affiliated with, and do not endorse products or services of GitLab. An overview of the role As Senior Director, Associate General Counsel, you'll own the vision, strategy, and execution of GitLab's corporate and compliance legal function at a senior leadership level, reporting to the Chief Legal Officer. You'll be a key member of the Legal leadership team and a trusted executive partner to the CFO, People organization, and broader E-Group on corporate governance, securities, equity, compliance, ethics, and M&A matters. You'll set the tone for how corporate legal operates as a strategic business enabler, accountable for the programs, judgment, and infrastructure that let GitLab operate as a sc
🔔 Get job alerts
New Executive Director, Chief Operations Officer - Aetna Better Health of Maryland jobs in Md - Columbia, United States, straight to your inbox.
No spam · Unsubscribe anytime