- Hartford, Connecticut, United States
- On-site
- Full-time · Executive
- $132K–$303K per year
- 10–12 years
The Executive Director, Claims & Payment Integrity Strategy will report to the VP, Claims & Payment Integrity of Aetna and serve as the central strategic integrator across the end‑to‑end claim lifecycle, accountable for aligning Claims & PI strategic plan, operational oversight, capital submissions and overall structure of the team.
Compensation
The typical pay range for this role is: $131,500.00 - $303,195.00. 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. 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.
Responsibilities
- Partner with Claims & Payment Integrity (CPI) leadership to develop and execute the enterprise strategy across 12‑month, 3‑year, and 5‑year+ horizons.
- Establish a cohesive end‑to‑end CPI operating model that integrates people, process, technology, and vendor capabilities across the full claim lifecycle.
- Serve as the single point of strategic coordination for initiatives combining multiple CPI teams and capabilities.
- Document and maintain a clear CPI strategic roadmap, ensuring cross‑functional alignment across DDAT, ACS, Reporting, Finance, Procurement, Operations, and other stakeholders.
- Create and manage governance forums, operating cadences, and decision frameworks to keep workstreams aligned while balancing transformation with day‑to‑day operational performance.
Requirements
- Bachelor's degree or equivalent experience