VP, Duals

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 VP of Duals is responsible for the national Duals (including FIDE and DSNP) Aetna business. This includes product & markets and provides strategic oversight for go-to-market planning, acquisition efforts, and operational execution. The leader will drive sales growth, member experience enhancement, and cost structure optimization through cross-functional collaboration and market intelligence.

Primary Responsibilities

• Owns financial performance for Duals markets on a national scale.
• Leads managers and/or directors across key functional areas-market leadership, product, operations, and sales/outreach-to ensure business goals are met.
• Oversees operations and directs initiatives related to enterprise contracts and communications.
• Guides departments in developing and maintaining policies that ensure compliance with all state and federal regulations.
• Ensures readiness and execution of all required federal and state audits related to plan performance.
• Manages health plan activities and functional budgets tied to the Duals business.
• Develops and motivates staff, overseeing employment decisions, performance reviews, compensation, and disciplinary actions.
• Collaborates with local market leadership to drive national product strategy, expand service areas, and explore new market opportunities.
• Provides guidance to Local DSNP Program Managers and Community Development teams
• Partners with local Medicare leadership to ensure operational efficiency and optimal resource allocation across network, care management, STARs, and compliance.
• Works with Medicaid business development and market leaders to identify and pursue shared growth opportunities.

• 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.

• 15+ years of healthcare industry experience, including Medicare, Medicaid, and Exchange programs.
• Deep expertise in Duals-specific programs such as FIDE SNP, and DSNP.
• Proven success in value-based contracting and integrated care models.
• Experience leading large-scale, cross-functional initiatives in matrixed environments.
• Familiarity with CMS regulations, NCQA, HEDIS, and federal/state compliance frameworks.
• Familiarity with CMS requirements for D-SNPs, and FIDE SNPs.
• Understanding of state Medicaid contracts, integrated care models, and SNP advisory committee mandates.
• Strategic leadership with the ability to synthesize vision and deliver on concurrent initiatives.
• Financial acumen in managing P&L, budgeting, and cost structure optimization.
• Analytical thinking and data-driven decision-making.
• Strong communication and influence across executive stakeholders.
• Compliance and audit readiness expertise.
• Track record of developing and empowering talent, fostering open dialogue, and promoting cross-boundary collaboration.
• Ability to navigate complex organizational structures and influence change at all levels.