Aetna Better Health of Louisiana is seeking an experienced leader with vast operational knowledge of government programs such as Medicaid, Medicare and Dual Eligible for its state-wide managed Medicaid business in the role of Chief Operating Officer (COO). The COO oversees all high-level operational activities of various functional areas including Claims, Provider Services, Information Technology, Grievance and Appeals, Member Services, and Medical Management. The role requires strategic leadership, employee development, and driving change for organizational and customer benefit. The COO also oversees Medicare and Long-Term Care lines of business, assists the Plan CEO in growth and financial management, and collaborates with corporate office leaders and shared services. Responsibilities include leading operational activities, ensuring compliance with business standards, reporting on plan operations, developing policies, supporting growth strategies, implementing new programs, collaborating on operational infrastructure, aiding marketing strategies, budget preparation, network development, liaising with regulatory agencies, and ensuring legal and policy compliance. The role requires in-state travel and supports CVS Health's commitment to diversity and inclusion. Required qualifications include 10+ years of relevant experience with government programs, deep understanding of claims systems, compliance, credentialing, marketing, and behavioral health integration. The candidate must work a hybrid model in Kenner, LA, and have a Bachelor's degree (Master's preferred).
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