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Lead Director, Network Relations Management

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
-

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Contract Type:
Not provided

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Salary:

100000.00 - 231540.00 USD / Year

Job Description:

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.

Job Responsibility:

  • Accountable for developing strategic partnerships to ensure Aetna has market leading discount and cost positions and high value, competitive networks
  • Leads Provider Relations Operations & Network Strategy
  • Drives Cross‑Functional Collaboration & Operational Excellence
  • Manages Provider Education, Communication & Engagement
  • Key focus on building strong relationships with providers as well as developing and executing contract strategies
  • Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives
  • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
  • Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience

Requirements:

  • A minimum of 10 years of progressively responsible experience in provider relations, contracting, or healthcare operations
  • A minimum of 3 years of people management experience
  • Demonstrated knowledge of value-based contracting structures
  • Experience with Medicare, Commercial contracting and various reimbursement methodologies
  • Demonstrated ability to build, manage, and grow strategic relationships
  • Experience presenting complex information to groups in a clear, concise, and persuasive manner

Nice to have:

Proven working knowledge of provider financial issues and competitor strategies

What we offer:
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Retiree medical access

Additional Information:

Job Posted:
April 05, 2026

Expiration:
April 18, 2026

Employment Type:
Fulltime
Work Type:
Remote work
Job Link Share:

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