CVS Health

Lead Director, Medicaid CFO, New York & New Jersey

CVS Health$100K — $231K *
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 7+ years in healthcare, managed care, insurance, or finance with P&L management experience.
  • 10+ years of overall professional experience.
  • Proven track record in budget management, financial forecasting, and variance analysis.
  • Experience in influencing senior leadership decisions through financial insights.
  • Strong analytical and communication skills, capable of presenting complex information clearly.
  • Leadership experience in managing teams and cross-functional projects with accountability.
  • Bachelor’s degree or equivalent experience.

Responsibilities

  • Lead financial performance management for New York and New Jersey Medicaid markets.
  • Develop detailed financial narratives linking performance, revenue trends, and operational insights.
  • Collaborate with market leadership to ensure operational accountability and contract performance.
  • Ensure compliance with state regulations and support financial audits and controls.
  • Provide financial insights on medical costs, quality incentives, and margin improvement strategies.
  • Enhance financial governance and reporting standards across the organization.
  • Mentor and develop finance team members for improved accountability and operational excellence.

Benefits

  • Comprehensive medical, dental, and vision coverage.
  • Paid time off for work-life balance.
  • Retirement savings options to support future financial security.
  • Wellness programs to enhance overall employee well-being.
  • Access to additional resources to support employees and their families.
Full Job Description
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.

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

About CVS Health

Omnicare provides comprehensive pharmaceutical services to patients and providers across the United States. As the market-leader in professional pharmacy, related consulting and data management services for skilled nursing, assisted living and other chronic care settings, Omnicare leverages its unparalleled clinical insight into the geriatric market along with some of the industry's most innovative technological capabilities to the benefit of its long-term care customers. Omnicare also provides key commercialization services for the bio-pharmaceutical industry through its Specialty Care Group.

CVS Health Careers

Joining CVS Health presents a unique opportunity to advance your career in a company where innovation, leadership, and growth go hand in hand. As a leader in the healthcare industry, CVS Health is more than just a pharmacy. We are a team of professionals dedicated to improving lives and optimizing health outcomes.

Work You’ll Do

At CVS Health, you will be part of a culture that values diversity and inclusivity, fostering an environment where every team member’s contribution is valued. Engage in meaningful work that directly impacts lives, driving innovation in healthcare services and solutions.

Explore Job Opportunities

Whether you’re looking for a position in pharmacy services, corporate leadership, or in-store management, CVS Health offers a variety of employment opportunities that will help you harness your skills and thrive professionally. Our job opportunities span across a wide range of professional fields and geographic locations, ensuring that your career at CVS Health aligns with your professional goals and lifestyle.

Internship Programs

Kickstart your career with CVS Health through our internship programs. These opportunities are designed for ambitious students eager to develop their skills in a real-world setting. Internships at CVS Health are not only about gaining work experience but also about making meaningful contributions to our ongoing projects.

Professional Growth and Development

CVS Health is committed to the professional growth of our employees. With access to cutting-edge technology, industry-leading experts, and comprehensive diversity training, our team members are equipped to lead and innovate. We support career advancement through professional development programs, leadership training, and opportunities for networking and internal mobility.

Benefits and Culture

Our employees enjoy a range of benefits that reflect our commitment to their well-being and success. From health and wellness benefits to professional development programs, CVS Health is dedicated to ensuring our team members have the resources they need. Our inclusive culture encourages collaboration and continuous learning, making CVS Health a place where you can grow and succeed.

Join Our Team

Ready to take the next step in your career? Explore the open positions at CVS Health that match your skills and interests. We are continuously hiring and looking for passionate, curious, and solution-driven team players.

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Don’t just look for a job. Look for a place where you can be a part of something bigger. Visit our careers page to find the position that’s right for you and join a team that values innovation and leadership in healthcare.

READ CAREERS BLOG

Stay ahead in your career with insights from those who know CVS Health best – our team. Learn from their experiences and get insider tips that can help you succeed in your next interview, craft a standout resume, and build a career you’re proud of at CVS Health.
Learn more about CVS Health
Size
300,000 employees
Market Cap
$122 billion
Industry
Net Income
$7.1 billion
Founded
1963
5 Year Trend
+10.5%
Revenue
$268.7 billion
NASDAQ

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