Executive Director, CFO - Aetna Medicare Part D & Medicare Supplement at CVS Health

Hartford, Connecticut, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, InsuranceIndustries

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
Bachelor’s degree in Finance, Accounting, Actuarial Science, Economics, or related field required

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
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
Partner with actuarial, compliance, and legal functions to mitigate regulatory and litigation risk
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
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

Skills

Financial Planning

Forecasting

Financial Reporting

Regulatory Compliance

Medicare Part D

Medicare Supplement

Revenue Recognition

Risk Management

Scenario Analysis

Capital Allocation

Monthly Close

IBNR Reserves

Reinsurance Accounting

CMS Bid Pricing

Subsidy Payments

CVS Health

Comprehensive pharmacy and healthcare services

About CVS Health

CVS Health operates a large network of retail pharmacies and walk-in medical clinics across the United States, providing a variety of health-related products and services. Their offerings include prescription medications, over-the-counter health products, and beauty items, as well as pharmacy benefits management and specialty pharmacy services. CVS Health's integrated business model allows them to serve individual consumers, businesses, and communities effectively, with a focus on improving health outcomes and reducing healthcare costs. Unlike many competitors, CVS Health combines pharmacy services with medical care, making it easier for patients to access quality healthcare. The company's goal is to enhance access to healthcare and support individuals in achieving better health.

Woonsocket, Rhode IslandHeadquarters

1963Year Founded

DEBTCompany Stage

Healthcare, Consumer GoodsIndustries

10,001+Employees

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

401(k) Retirement Plan

Company Equity

Wellness Program

Professional Development Budget

Paid Vacation

Paid Holidays

Risks

Legal challenges related to opioid prescriptions could harm CVS's reputation and finances.

The DOJ's intervention in a whistleblower lawsuit may increase legal costs for CVS.

The Horizon Organic Milk recall exposes potential vulnerabilities in CVS's supply chain.

Differentiation

CVS Health operates over 9,600 retail pharmacies and 1,100 walk-in clinics nationwide.

The company integrates pharmacy benefits management with specialty pharmacy services for comprehensive care.

CVS Health offers tailored medication plans through personalized medicine and pharmacogenomics.

Upsides

Expansion of telehealth services allows CVS to reach more patients remotely.

Increased consumer interest in wellness boosts demand for CVS's health-related products.

The trend towards value-based care aligns with CVS's integrated healthcare approach.

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