VP, Medicaid – Aetna Technology

CVS Health

VP, Medicaid overseeing technology solutions for CVS Health’s Medicaid business. Leading engineering operations and managing multi-year product strategies for health care solutions.

Posted 5/9/2026full-timeHartford • Arizona, Connecticut, Illinois, New York, Texas • 🇺🇸 United StatesLeadWebsite

Tech Stack

Tools & technologies

CloudMicroservices

About the role

Key responsibilities & impact

Oversee cross-functional collaboration across Medicaid business units, technology teams, and growth partners to ensure seamless, efficient, and compliant operations.
Identify opportunities for process improvement and operational optimization, developing technology-enabled strategies that enhance efficiency, reduce friction, and improve service delivery.
Direct end-to-end application development lifecycle for vendor provided and internally developed systems across a multi-state, multi-business environment.
Develop and execute the technology platform strategy and investment roadmap, in collaboration with business units and corporate partners.
Lead the implementation of automation tools, workflow systems, and digital capabilities to streamline Medicaid operational processes and increase overall productivity.
Utilize data and analytics platforms to assess and improve performance, identifying trends, operational risks, and insights that drive better decision-making and outcomes.
Partner closely with the Medicaid CFO and financial leaders to develop budgets, forecast technology spend, manage expenses, and ensure alignment with financial goals and state/regulatory requirements.
Develop, lead, and execute enterprise-wide Medicaid technology initiatives, ensuring alignment with business strategy, regulatory timelines, and member/provider experience priorities.
Manage and implement cost-saving initiatives across the Medicaid technology portfolio, leveraging modernization, automation, cloud optimization, and operational improvements.
Build and maintain strong relationships with internal stakeholders, external partners, vendors, state agencies, and industry associations, ensuring effective collaboration and trusted partnerships.
Oversee Medicaid risk activities, ensuring the organization meets compliance, audit, security, and regulatory obligations across all systems and operations.
Lead organizational change management efforts, with a strong focus on revenue growth, cost containment, reimbursement methodologies, and member and provider support functions.

Requirements

What you’ll need

15+ years in healthcare technology with 7+ years leading large, complex engineering/product portfolios; Medicaid experience required.
Proven delivery of enterprise-scale platforms (millions of members/providers), with cloud, API/microservices, and data platform leadership.
Strong command of claims/encounter processing, care & utilization management, provider data, interoperability (FHIR), MITA concepts, and HIPAA security/privacy.
Track record of financial stewardship, vendor management, and multiyear modernization programs.
Exceptional executive communication and cross-functional influence; effective with state agencies and senior business partners.
Ability to think strategically, and a strong focus on data-driven decision making.

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
company’s equity award program

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

application development lifecycleautomation toolsworkflow systemsdata analyticscloud optimizationAPImicroservicesclaims processinginteroperabilityMITA concepts

Soft Skills

cross-functional collaborationstrategic thinkingexecutive communicationinfluencerelationship buildingchange managementdata-driven decision makingfinancial stewardshipvendor managementoperational optimization