Executive Director, CFO - Aetna Medicare Part D & Medicare Supplement
Listed on 2026-06-17
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Finance & Banking
CFO, Financial Manager, VP/Director of Finance -
Management
CFO, Financial Manager
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.
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 Strategic Finance & Leadership- 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.
- 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.
- 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.
- Bachelor's degree in Finance, Accounting, Actuarial Science, Economics, or related field required.
- Advanced degree or professional credential preferred.
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…
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