Executive Director, DSNP Market Performance

CVS Health

Executive Director overseeing Aetna's healthcare market performance in the Northeast for integrated dual eligible plans. Building relationships with state agencies and leading financial outcomes and quality initiatives.

Posted 5/9/2026full-timeNew York City • New Jersey, New York, Virginia • 🇺🇸 United StatesLead💰 $131,500 - $303,195 per yearWebsite

About the role

Key responsibilities & impact

Full ownership of financial performance, including budget attainment, margin improvement, and sustainable membership growth through disciplined revenue optimization, medical cost management, and administrative efficiency
Set and execute market strategy to improve competitive position, quality outcomes (STARs), network performance, and operational effectiveness
Serve as the senior executive relationship owner with state Medicaid agencies and regulators; represent plan interests with state officials, legislators, and industry associations
Ensure full compliance with all federal and state requirements; oversee audit readiness and accountability for regulatory performance
Lead local product design, bid development, and market intelligence efforts to support profitable growth, including oversight of supplemental benefits and delegated vendor partnerships
Strengthen provider, community, and stakeholder relationships to enhance member experience and provider satisfaction
Partner with Medicare, Medicaid, Duals segment leadership, and cross‑functional teams (network, clinical, quality, sales, marketing, operations) to deliver integrated results
Build and develop a high‑performing leadership team; set clear performance expectations and invest in successor and talent development
Lead readiness and execution for new contracts, programs, and expanded services

Requirements

What you’ll need

15+ years of progressive leadership experience in managed care or healthcare, including direct responsibility for financial management
Demonstrated P&L ownership with a strong financial and results orientation
Deep expertise in integrated Medicare–Medicaid products, including DSNP/FIDE models
Strong knowledge of health plan operations, medical management, quality and STARs performance, provider networks, NCQA accreditation, and regulatory compliance
Proven ability to influence and lead within a complex, matrixed organization
Skilled in leading, influencing, and motivating teams to achieve high performance and outcomes
Strong executive presence, stakeholder management, and problem-solving skills
Willingness to travel within the Northeast Territory as required
Bachelor's degree required (advanced degree preferred)

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

financial managementP&L ownershipMedicare-Medicaid productsDSNP modelsFIDE modelshealth plan operationsmedical managementquality performanceSTARs performanceNCQA accreditation

Soft Skills

leadershipinfluencingmotivating teamsstakeholder managementproblem-solvingexecutive presencerelationship buildingcommunicationstrategic thinkingperformance management