Chief Operating Officer, Aetna Better Health of Illinois

Chief Operating Officer (COO)

Aetna Better Health of Illinois (ABHIL) is seeking an experienced leader with deep operational expertise in Medicaid Managed Care to serve as Chief Operating Officer (COO) for its statewide managed Medicaid business.

The COO will partner with the CEO to shape the Health Plan's strategic vision, policies, and operational objectives, including leading RFP readiness efforts. This role oversees strategic and operational activities across key functional areas such as Claims, Provider Services, IT, Grievance & Appeals, Member Services, and Medical Management (Quality, Network, Compliance, Health Equity, Medical Directors, Utilization Management, Vendor Management). Responsibilities include driving productivity, fostering an inclusive and diverse culture, and ensuring organizational outcomes are achieved. The COO will also manage the Long-Term Care line of business.

Key Responsibilities :

• Provide day-to-day leadership aligned with the company's mission and values.
• Drive performance to exceed metrics, profitability, and business goals.
• Lead operational activities across service operations and medical management, including Claims, Encounters, Provider Services, Data Management, IT, Member Services, Network, Program Integrity, and Enrollment.
• Ensure compliance with Business Standards of Practice and internal / external processes.
• Deliver timely, accurate reports on the Plan's operating condition.
• Develop and implement policies and procedures for assigned areas.
• Collaborate on growth strategies, operational infrastructure, and rapid expansion initiatives.
• Spearhead new programs, services, and bid / grant proposals as needed.
• Support marketing and advertising strategies within state guidelines.
• Prepare and review budgets and variance reports.
• Partner with Network Development to build provider networks.
• Serve as liaison with regulatory agencies and communicate updates to leadership.
• Ensure compliance with laws, regulations, and company policies.
• Travel in-state as required for meetings and site visits.

Additional Expectations :

The COO will lead business operations, drive employee productivity, and cultivate a thriving, inclusive culture. This role requires strong leadership, relationship-building, and talent development skills to ensure organizational success.

Required Qualifications :

Preferred Experience :

Education : Bachelor's degree required.

Pay Range

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. 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.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

We anticipate the application window for this opening will close on : 12 / 18 / 2025.