CVS Health is looking to transform healthcare for vulnerable populations through digital innovation by developing best-in-class digital experiences for Medicaid members across their secure website and mobile app, and orchestrating the migration of legacy Medicaid assets to the modern Aetna Health platform.
Requirements
- 10+ years of experience in product ownership, business analysis, project/program management, or related fields, with a proven track record in agile product development.
- 10+ years of experience in software product management, successfully delivering large-scale, consumer-facing products.
- 10+ years of experience managing complex projects/programs, delivering value within tight timelines.
- Deep understanding of Medicaid, its regulatory landscape, state-by-state program nuances, and the populations it serves.
- Experience working with state Medicaid agencies, managed care organizations, or Medicaid technology platforms.
- Data-driven decision-making and quantitative analysis expertise.
- General understanding of programming and computer science concepts.
Responsibilities
- Define, own, and communicate the product vision, strategy, and roadmap for digital Medicaid capabilities, ensuring alignment with business objectives and member needs.
- Lead the end-to-end delivery of features and experiences, focusing on accessibility, usability, and the unique needs of Medicaid populations (e.g., mobile device constraints, connectivity challenges, language/cultural barriers, health literacy).
- Ensure compliance with Medicaid regulations and state-specific requirements, incorporating policy changes and eligibility rules into digital solutions.
- Develop and execute a comprehensive migration strategy to transition states from legacy platforms to new digital experiences, including establishing a migration office/function to manage communications, training, and operational readiness.
- Champion investment cases and business cases to secure resources and support for digital initiatives.
- Drive the integration of social determinants of health (SDOH) and community resources into the digital experience to address holistic member needs.
- Ensure all digital solutions are developed and maintained in strict adherence to Medicaid regulations, privacy requirements (such as HIPAA), and evolving compliance standards.
Other
- Demonstrate a deep understanding of the unique needs, challenges, and lived experiences of Medicaid members—including barriers related to technology access, health literacy, language, and social determinants of health.
- Champion the design and delivery of digital experiences that are culturally sensitive, accessible, and tailored to the diverse Medicaid population.
- Stay current on Medicaid policy changes and compliance trends, proactively integrating these requirements into product strategy, features, and member communications.
- Advocate for the voice of Medicaid members by leveraging research, analytics, and direct feedback to drive continuous improvement in engagement, satisfaction, and health outcomes.
- Build, coach, and inspire high-performing, agile product teams; foster a culture of innovation, accountability, and continuous improvement.
