Medicaid Manager Jobs in Rochester, NY (NOW HIRING)

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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.

• 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.

• 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.

• 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.

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.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

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

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.