Executive Director, Strategic Finance - Aetna Medicare

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Position Summary

The Executive Director, Strategic Finance will lead a newly established Strategic Finance function within Medicare, working alongside MAPD Finance, Part D & Med Supp Finance, and SG&A Management. This role is designed for a leader who can combine actuarial rigor, operational excellence, and strategic vision to drive measurable margin improvement. The position balances hands-on analysis with team leadership, with a focus on forecast accuracy, key value realization across Stars, Risk Adjustment, provider/value-based care (VBC) economics, and investment evaluation.

Leveraging a strong background in actuarial science and broader healthcare strategy and operations, the Executive Director will partner closely with Market Finance, Network/Clinical, Actuarial, and Analytics to translate strategy into financial impact.

Key Responsibilities

Strategic Finance Leadership

• Establish and scale the Medicare Strategic Finance function, setting vision, priorities, and operating cadence.
• Lead and develop a high-performing team (e.g., Director, Managers/Analysts), balancing “player-coach” responsibilities with talent development.
• Embed finance support within adjacent teams (MAPD, Part D + Med Supp) to accelerate decision-making and ensure accuracy of analyses.

Portfolio Evaluation & Capital Planning

• Partner with the CFO and Corporate Finance in enterprise capital planning efforts; support preparation / delivery of analytics, scenario evaluations (IRR, payback, strategic fit), and concise recommendation memos.
• Maintain an integrated view of Medicare initiatives and advise on prioritization/sequencing of investments.

Business Performance & Communications

• Align KPIs across Medicare; provide early-warning signals and recommend corrective actions.
• Lead periodic reviews with senior leadership, presenting portfolio insights, forecast quality, and ROI realization
• Produce executive-ready narratives, dashboards, and decision materials for the Medicare ELT and CFO.

Partnerships Across the Enterprise

• Collaborate with Actuarial, Pricing, Network, and PBM teams to co-create margin bridges that capture pricing, plan design, provider agreements, formulary/UM changes, and quality levers.
• Standardize decision templates and frameworks to enable faster, more consistent financial decisions.

Value Realization (Stars, RAF, Provider/VBC, Interoperability)

• Own ROI methods and post-investment tracking across Stars, RAF, provider/VBC, and interoperability initiatives.

• Run recurring reviews with attribution analysis and accountability discipline.
• Translate complex clinical and operational initiatives into financial outcomes, quantifying value and guiding corrective action.

Forecast Quality & Performance Management

• Stand up a Forecast Quality Assessment Process: set accuracy targets, decompose error (mix, unit cost, Stars/RAF, timing), and drive closure of identified exceptions.
• Build scenario libraries for bid season, AEP/OEP, and macro sensitivities; align assumptions and timelines with BU Finance and Actuarial.

Requirements

• 12+ years of progressive Healthcare experience, including strategy/finance/actuarial with demonstrated focus on Medicare Advantage
• Executive-ready communication skills; able to produce crisp narratives and decision materials.
• Demonstrated ability to lead teams, balancing strategic and executional, hands-on approach.
• Advanced fluency in modeling, KPI design, and forecasting and ability to work with data science and analytics teams to support in insight-generation

Preferred Qualifications

• ASA/FSA or CPA; MBA or related advanced degree.
• Hands-on experience with value-based care economics, Stars improvement programs, RAF program design, and interoperability (EHR/FHIR) business cases.
• Track record of improving forecast accuracy and driving finance transformation (automation, report rationalization, “exceptions-only” flash).

Education

• Bachelor’s degree in Finance, Accounting, Actuaria