Aetna Technology Medicaid Director Product Portfolio

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 embarking on a bold digital agenda to transform health care and empower millions of customers on their path to better health. We are creating innovative, enterprise digital solutions that make health care more accessible, integrated, and reliable for more people. We are looking for passionate, driven individuals who want to join a high-energy and growing team to make a difference in the lives of our Medicaid members and be on the ground floor of digital innovation.

The Director of Product for a Portfolio for Aetna Medicaid Technology is responsible for product management leadership for one or more digital product domains supporting Medicaid members, care, providers, claims, states and /or systems integration. This people manager (player/coach) role owns and defines the product vision and strategy, roadmap, feature delivery, and overall success of the product to enable a best-in-class end-to-end experience for Medicaid populations.

You will be in the markets understanding our users. You will have research of Medicaid and our competitors understood and communicated across the ecosystem for all to benefit. You will also be a player and be expected to manage a backlog of features and enablers to enhance the product and extend its architectural and discovery runway. You are accountable for overall product health, inclusive of technical health, and risk communication.

You will provide guidance on sequencing and prioritizing investments to optimize value and ensure compliance with CMS and state Medicaid requirements.

This role partners closely with the Business General Manager, Design, Engineering, and Data/Analytics forming the 'Five in a Box' cross-discipline product portfolio team. You will also serve as the main point-of-contact with other stakeholders such as architects, tech-ops, security, and compliance to ensure overall cohesion for your product or experience.

Required Qualifications

• 10+ years of experience in product management, preferably in healthcare or regulated industries
• Proven ability to deliver digital products at scale with measurable outcomes
• Understanding of CMS and state Medicaid requirements and ability to translate them into product features
• Experience with Agile frameworks (Safe) and backlog management (Rally-Jira)
• Excellent communication and stakeholder management skills
• Ability to tell a story by understanding the problem, prioritizing value and leading an empowered team
• Demonstrated collaboration and empathy amongst Product, Design, Engineering, Business GM and End User's to conduct Discovery and Framing and build an MVP from 0-1, to a Most Marketable Product (with Outcomes and Value)
• Ability to coach and develop (upskill) existing colleagues to foster a greater culture towards a 'scalable' product operting model. (ie Training, Coaching, I do, You do, We do.)

Preferred Qualifications

• Experience with Medicaid operations (UM/CM), provider portals, or member engagement solutions
• Familiarity with FHIR APIs, EDI transactions (834/835/837), and prior authorization workflows
• Exposure to accessibility standards (WCAG) and health equity initiatives
• Agile certification (CSPO, SAFe) or PMP
• Bachelor's degree required; advanced degree

Education

• Bachelor's degree or equivalent experience (High school diploma plus 4 years relevant work experience)

Pay Range

The typical pay range for this role is:

$ - $

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
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• No-cost programs for all…