Talent.com
No longer accepting applications
Executive Director, CFO - Aetna Medicare Part D & Medicare Supplement

Executive Director, CFO - Aetna Medicare Part D & Medicare Supplement

CVS HealthHartford, CT, US
24 days ago
Job type
  • Full-time
Job description

Divisional CFO For Medicare Part D And Medicare Supplement

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Divisional CFO for Medicare Part D and Medicare Supplement is responsible for the financial stewardship, regulatory compliance, and strategic direction of these two major business lines. This leader partners with senior executives to ensure sustainable profitability, regulatory alignment, and market competitiveness, while also overseeing reporting, forecasting, and capital allocation across both product lines.

Key Responsibilities

  • Serve as the chief financial partner to the Medicare Part D and Medicare Supplement business leadership teams.
  • Translate enterprise strategy into annual financial plans, linking market positioning, membership growth, and margin performance to actionable financial goals.
  • Lead teams performing financial planning, forecasting, and reporting processes across Part D and Med Supp.
  • Develop scenario analyses and risk management frameworks specific to Medicare regulatory and market environments.

Financial Operations & Reporting

  • Direct monthly close, revenue recognition (including CMS bid / pricing reconciliation and subsidy payments), and reserves (e.g., Part D IBNR, rebate reserves, Med Supp claim liabilities).
  • Ensure proper accounting treatment for reinsurance, risk corridor settlements, and Medicare bid-related accruals.
  • Work with controller to monitor Medicare Advantage Part D (MAPD) and standalone PDP settlement processes.
  • Establish systemic dashboards and KPIs to track membership, claims, rebates, PBM fees, CMS subsidy revenue, risk corridor payments and other key financial performance metrics.
  • Regulatory & Compliance

  • Partner with actuarial, compliance, and legal functions to mitigate regulatory and litigation risk.
  • Actuarial & Pricing Oversight

  • Assess and challenge actuarial assumptions, ensuring alignment with strategic goals and enterprise risk appetite.
  • Support negotiation strategies with PBMs, manufacturers, and reinsurers through robust financial analysis.
  • Business Performance & Partnerships

  • Partner with Pharmacy, Actuarial, Clinical, Network, and Trade teams to evaluate rebate contracts, formulary design, and cost-management programs.
  • Lead analysis of Med Supp distribution economics, underwriting outcomes, and aging-in strategies.
  • Serve as executive sponsor for cross-functional initiatives affecting Part D and Med Supp financial outcomes.
  • Minimum Requirements

  • 12+ years of progressively responsible finance / actuarial / operational leadership experience in health insurance or healthcare consulting, with at least 2+ years in Medicare (Part D and / or Med Supp).
  • Demonstrated understanding of CMS bid / attestation processes, Part D financial reconciliation, and Med Supp rate filing and profitability management.
  • Adept at leading through influence, collaboration, and cross-functional partnerships.
  • Proven experience developing and leading a finance team.
  • Mastery of strategic problem solving, decision-making, and communication skills for financial and non-financial stakeholders.
  • Preferred Qualifications

  • FSA, ASA, or CPA designation; MBA or related advanced degree.
  • Experience with Medicare Part D financials, Medicare Supplement LDTI accounting rules, CMS audits, PBM contracting, and IRA drug pricing provisions.
  • Track record of driving strong team performance and leading transformation within a large organization.
  • Education

  • Bachelor's degree in Finance, Accounting, Actuarial Science, Economics, or related field required.
  • Advanced degree or professional credential preferred.
  • 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 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 :

    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.

    Create a job alert for this search

    Director Medicare • Hartford, CT, US

    Related jobs
    • Promoted
    • New!
    Remote Medical Director : Medicare / Medicaid Compliance & Review

    Remote Medical Director : Medicare / Medicaid Compliance & Review

    Humana IncHartford, CT, United States
    Remote
    Full-time
    A leading healthcare provider is seeking a Medical Director to oversee adherence to Medicare guidelines and provide medical interpretations. This role requires an MD or DO degree, board certificatio...Show moreLast updated: 14 hours ago
    • Promoted
    Senior Director of Clinical Safety and Risk Management

    Senior Director of Clinical Safety and Risk Management

    Direct JobsSpringfield, MA, United States
    Full-time
    Baystate Health, a not-for-profit, integrated healthcare system serving western Massachusetts.Baystate Health is seeking an experienced and strategic Senior Director of Clinical Safety and Risk Man...Show moreLast updated: 5 days ago
    • Promoted
    Senior Director of Clinical Safety and Risk Management

    Senior Director of Clinical Safety and Risk Management

    NahseSpringfield, MA, United States
    Full-time
    Baystate Health, a not-for-profit, integrated healthcare system serving western Massachusetts.Baystate Health is seeking an experienced and strategic Senior Director of Clinical Safety and Risk Man...Show moreLast updated: 7 days ago
    • Promoted
    • New!
    Lead Director; Actuarial - Medicare Advantage (SNP)

    Lead Director; Actuarial - Medicare Advantage (SNP)

    CVS HealthHartford, CT, United States
    Full-time
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...Show moreLast updated: 14 hours ago
    • Promoted
    Behavioral Medical Director - East Region

    Behavioral Medical Director - East Region

    OptumHartford, CT, United States
    Full-time
    This individual will interact directly with and offer clinical, procedural, or administrative recommendations to psychiatrists and other behavioral health providers, medical physicians and nurses, ...Show moreLast updated: 7 days ago
    • Promoted
    Site Medical Director

    Site Medical Director

    Fair Haven Community Health CareNew Haven, CT, United States
    Full-time
    Fair Haven Community Health Care (FHCHC) is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at over 143,000 office visits in 21 locatio...Show moreLast updated: 30+ days ago
    • Promoted
    Director / Senior Director, Commercialization Operations

    Director / Senior Director, Commercialization Operations

    PharmaEssentia U.S.A.Monson, MA, US
    Full-time
    It’s not often you get the chance to make a real impact on the lives of others, while expanding your own possibilities.You’ll find that rare opportunity at PharmaEssentia USA Corporatio...Show moreLast updated: 30+ days ago
    • Promoted
    Associate Director of the Quinnipiac University Poll

    Associate Director of the Quinnipiac University Poll

    InsideHigherEdHamden, Connecticut, United States
    Full-time
    The Associate Director plays a pivotal role in shaping the strategic direction and execution of the Quinnipiac University Poll. Working closely with the Director, this position ensures the applicati...Show moreLast updated: 30+ days ago
    • Promoted
    Team Lead East - Senior Director, US Medical Affairs, GI Oncology, (Remote)

    Team Lead East - Senior Director, US Medical Affairs, GI Oncology, (Remote)

    Remote StaffingHartford, CT, US
    Remote
    Full-time
    Regional Medical Scientific Senior Director Team Lead.The Regional Medical Scientific Senior Director Team Lead (RMSD TL) is a credentialed therapeutic and disease expert who owns leadership, manag...Show moreLast updated: 1 day ago
    • Promoted
    Sr Director - Revenue & Reimbursement

    Sr Director - Revenue & Reimbursement

    Connecticut Children'sHartford, CT, United States
    Full-time
    The Senior Director of Revenue and Reimbursement is a trusted strategic partner to the health system’s SVP Finance / CFO as well as the broader executive management team. As a member of the Finance Le...Show moreLast updated: 4 days ago
    • Promoted
    Senior Director, Corporate Compliance, Risk Management

    Senior Director, Corporate Compliance, Risk Management

    Iviva MedicalSpringfield, MA, US
    Full-time
    Senior Corporate Compliance Director, Risk Management.The job details are as follows : .We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corpora...Show moreLast updated: 2 days ago
    • Promoted
    Executive Director, Business Development - Core

    Executive Director, Business Development - Core

    Syneos Health / inVentiv Health Commercial LLCNew Haven, CT, United States
    Full-time
    Executive Director, Business Development.Executive Director, Regional BD.This role blends strategic account farming with targeted hunting activities- balancing proactive expansion of existing accou...Show moreLast updated: 30+ days ago
    • Promoted
    Regional Director, Mid Atlantic Healthcare

    Regional Director, Mid Atlantic Healthcare

    NY StaffingHartford, CT, US
    Full-time
    Enterprise Healthcare Regional Sales Director.Rubrik's sales organization is a united group of elite cross-functional sales professionals that help companies and government entities achieve resilie...Show moreLast updated: 1 day ago
    • Promoted
    Director of Career and Life Design Center

    Director of Career and Life Design Center

    InsideHigherEdHartford, Connecticut, United States
    Full-time
    Trinity College seeks the next Career and Life Design Center leader to grow the office's impact on the Trinity community and beyond. A nationally recognized office and accomplished career team, the ...Show moreLast updated: 30+ days ago
    • Promoted
    Director of Operations

    Director of Operations

    Boca Recovery CenterSpringfield, MA, US
    Full-time
    On Site – Springfield, MA.Competitive, based on experience.Founded in 2016, Boca Recovery Center is a nationally recognized addiction treatment provider specializing in substance use disorder...Show moreLast updated: 30+ days ago
    • Promoted
    Director, Medical Economics Actuarial | Hartford, Connecticut, United States

    Director, Medical Economics Actuarial | Hartford, Connecticut, United States

    Oscar Health InsuranceHartford, CT, United States
    Full-time
    We're hiring a Director, Medical Economics to join our Medical Economics.Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving ...Show moreLast updated: 2 days ago
    • Promoted
    Director, Risk Management, Hartford Region

    Director, Risk Management, Hartford Region

    Hartford HealthCareHartford, CT, United States
    Full-time
    Work where every moment matters.Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common : Pride in what we do, knowing every moment matters here.Hartford Hea...Show moreLast updated: 7 days ago
    • Promoted
    Senior Director, Audit & Oversight

    Senior Director, Audit & Oversight

    WelbeHealthHartford, CT, United States
    Permanent
    WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population.Under the direc...Show moreLast updated: 7 days ago