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Lead Director, Medicaid CFO, New York & New Jersey

Role overview

Qualifications

  • 7+ years of healthcare, managed care, insurance, finance, FPA, or related PL management experience
  • 10+ years overall experience
  • Experience managing budgets, forecasts, financial close, variance analysis, risks/opportunities, and key financial metrics
  • Bachelors or equal experience

Responsibilities

  • Lead New York and New Jersey Medicaid financial performance management, including close, forecast, planning, reporting, and risk/opportunity assessment
  • Develop a clear financial narrative that connects market performance, revenue and cost trends, contract dynamics, operational drivers, and recommended actions
  • Partner with market leadership and Medicaid Finance to support operational accountability, contract performance, and sustainable outcomes
  • Drive financial insight on rate adequacy, medical cost trends, affordability opportunities, quality incentives, revenue considerations, and margin improvement opportunities

Key facts

Hard skills

Other skills

  • Budgeting
  • Forecasting
  • Analytical Skills
  • Team Leadership
  • Problem Solving
  • Time Management
  • Communication

About the company

CVS Health logo

CVS Health

Hospitals & Health Care

CVS Health is the leading health solutions company, delivering care like no one else can. We reach more people and improve the health of communities across America through our local presence, digital channels and over 300,000 dedicated colleagues – including more than 40,000 physicians, pharmacists, nurses and nurse practitioners. Wherever and whenever people need us, we help them with their health – whether that’s managing chronic diseases, staying compliant with their medications or accessing affordable health and wellness services in the most convenient ways. We help people navigate the health care system – and their personal health care – by improving access, lowering costs and being a trusted partner for every meaningful moment of health. And we do it all with heart, each and every day. Follow @CVSHealth on social media.

Company details

Company typeLarge
IndustryHospitals & Health Care
Company size10001

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Job description

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

The Lead Director, CFO – New York & New Jersey is an exciting opportunity to lead as the financial executive for the New York and New Jersey Medicaid markets, leading financial execution, controls, planning, forecasting, and performance management across both markets.

The role requires a strong execution CFO who can connect market financial performance, rate and contract dynamics, state reporting, medical cost management, plan operations, and member outcomes into a clear current and forward strategic financial view. This leader will partner closely with market leadership, Medicaid Finance, actuarial, medical cost, network, clinical, compliance, and enterprise partners to support sustainable financial and operational outcomes.

KEY ACCOUNTABILITIES

  • Lead New York and New Jersey Medicaid financial performance management, including close, forecast, planning, reporting, and risk/opportunity assessment.
  • Develop a clear financial narrative that connects market performance, revenue and cost trends, contract dynamics, operational drivers, and recommended actions.
  • Partner with market leadership, Medicaid Finance, and enterprise cross-functional teams to support operational accountability, contract performance, and sustainable outcomes across both states.
  • Support state-facing financial deliverables, audit readiness, controls, compliance requirements, and timely response to internal and external requests.
  • Drive financial insight on rate adequacy, medical cost trends, affordability opportunities, quality incentives, revenue considerations, and margin improvement opportunities.
  • Advance finance process discipline, governance, reporting standardization, and collaboration across market and enterprise partners.
  • Lead, coach, and develop the finance team, fostering accountability, growth, strong execution, and effective partnership with business leaders.
  • Build executive-ready materials and strengthen financial discipline, analytical quality, and ownership across stakeholders.

REQUIRED QUALIFICATIONS

  • 7+ years of healthcare, managed care, insurance, finance, FP&A, or related P&L management experience.
  • 10+ years overall expereince.
  • Demonstrated experience managing budgets, forecasts, financial close, variance analysis, risks/opportunities, and key financial metrics.
  • Experience partnering with senior business leaders to influence decisions, drive accountability, and translate financial results into operational action.
  • Strong analytical, communication, and executive presentation skills with demonstrated ability to synthesize complex financial information clearly.
  • Experience leading teams or cross-functional workstreams with accountability for accuracy, controls, timelines, and stakeholder alignment.
  • Bachelors or equal expereince.

PREFERRED QUALIFICATIONS

  • Medicaid, Medicare, or Commercial health insurance product experience.
  • Experience with Medicaid rate development, capitation, actuarial partnership, medical cost trend, MLR, quality incentives, state reporting, and contract compliance.
  • Experience supporting large, complex, or multi-state markets with state-facing deliverables, financial governance, and operational partnership.
  • Executive communication, financial modeling, scenario analysis, and ability to operate effectively in a highly matrixed, state-facing environment.
  • MBA, CPA, or equal expereince.

This is hybrid/remote role does not provide sponsorship.

Pay Range

The typical pay range for this role is:

$100,000.00 - $231,540.00


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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 08/31/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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