VP, Medicaid Health Plan

November 5, 2025

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Job Description:

Lead all aspects of the Florida Medicaid plan’s operations, with full accountability for financial performance, membership growth, and quality outcomes
Manage the P&L, ensuring fiscal responsibility, profitability, and alignment with enterprise goals
Drive strategic planning and execution to meet state priorities and business objectives
Serve as the primary liaison with the Florida Agency for Health Care Administration (AHCA), CMS, and other regulatory bodies
Ensure compliance with all contract requirements and proactively manage audits, reporting, and policy changes
Represent the plan in legislative and regulatory forums, building trust and credibility with state leaders
Act as the face of Aetna Better Health of Florida, building strong relationships with community-based organizations, advocacy groups, and provider partners
Promote the Aetna brand and mission across the state, particularly among stakeholders serving TANF, LTC/LTSS, ABD, and CHIP populations
Oversee the development and execution of clinical programs that address population health priorities and improve health equity
Ensure the delivery of high-quality, culturally competent care through a robust, value-based provider network
Prioritize member and provider satisfaction through continuous improvement initiatives
Build and lead a high-performing local leadership team, plus collaborate with the Shared Services partners
Foster a culture of accountability, innovation, and collaboration across the organization and with matrix partners

Requirements:

10+ years of progressive leadership in managed care
7+ years in executive roles with P&L responsibility will be valued
Proven success managing Medicaid plans and navigating complex regulatory environments will be valued
Experience with RFP development, bid strategy, and oral presentations highly valued
Strong knowledge of Medicaid will be highly valued
Knowledge of the Florida’s healthcare landscape will be valued
Strong knowledge of VBC will be valued
Strong understanding of compliance, quality management, population health, and social determinants of health (SDOH)
Demonstrated ability to lead through change and drive performance in a matrixed environment
Exceptional relationship management, communication, and strategic thinking skills
Strong people leadership and team-building capabilities
Ability to influence internal and external stakeholders and drive alignment across functions
Must live in Florida or relocate to Florida

Benefits:

Health insurance
401(k) matching
Flexible work hours
Paid time off

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