AVP, Regional CFO - Medicaid

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

The AVP, Regional CFO serves as the senior finance executive for a portfolio of Medicaid markets, providing strategic financial leadership, executive partnership, and performance accountability across the region. This role leads and coaches a team of Market CFOs, ensuring markets identify risks early, execute against financial commitments, and achieve sustainable margin improvement.

As a key member of the Medicaid Finance leadership team, the AVP partners closely with Market Presidents and enterprise leaders to influence growth strategies, investment decisions, operating performance, and long-term value creation. Leveraging support from FP&A, the Medicaid Finance Center of Excellence (COE), and Regional Analytical Pods, the AVP focuses on accelerating business outcomes, strengthening financial discipline, and building a high-performing finance organization capable of driving consistent results across markets.

Open to Remote, Work From Home

Key Responsibilities

Strategic Financial Leadership

• Serve as the senior financial advisor to two Regional Market Presidents and nine state leadership teams.

• Drive achievement of revenue, margin, earnings, membership, and cash flow objectives across the regional portfolio.

• Influence key business decisions related to growth, pricing, investments, provider strategy, product performance, and operational priorities.

• Identify emerging financial risks and opportunities and lead proactive mitigation and action planning.

• Ensure financial insights translate into business decisions and measurable performance improvement.

• Challenge assumptions and drive accountability to deliver committed financial results.

Leadership of Market CFO Organization

• Lead, coach, and develop a team of Market CFOs, including strategic thinking, executive presence, and business partnership capabilities.

• Establish clear performance expectations and accountability for financial outcomes across markets.

• Share best practices and lessons learned across states to accelerate improvement and execution.

• Create a culture focused on ownership, transparency, collaboration, and continuous improvement.

• Develop leadership talent and succession pipelines within the Market CFO organization.

• Serve as the escalation point and advisor for complex financial, operational, and strategic market issues.

Performance Management & Margin Recovery

• Drive rigorous performance management processes across markets.

• Lead reviews of financial performance, forecast accuracy, operating trends, and achievement of strategic objectives.

• Ensure markets have actionable plans to address performance gaps and improve profitability.

• Hold teams accountable for execution against operating commitments and margin recovery initiatives.

• Partner with Market CFOs to prioritize actions that improve financial outcomes while supporting growth and member experience objectives.

Executive Partnership & Influence

• Build strong relationships with senior business leaders and serve as a trusted strategic partner.

• Influence decisions through data-driven insights, financial storytelling, and thoughtful recommendations.

• Represent Medicaid Finance in executive reviews, strategic planning discussions, and enterprise initiatives.

• Partner effectively across Operations, Network, Clinical, Product, Actuarial, and Strategy functions to align on priorities and execution.

Finance Transformation & Organizational Excellence

• Champion adoption of standardized processes, governance, and best practices enabled through FP&A, COE, and analytical pod capabilities.

• Help evolve the Medicaid Finance operating model to improve efficiency, effectiveness, and scalability.

• Drive simplification and modernization of forecasting, performance management, and decision-support processes.

• Foster a culture of innovation, continuous learning, and disciplined execution.

Leadership Competencies

• Strategic e