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Lead Director, Provider Portal Strategy & Operations

https://www.cvshealth.com/ Logo

CVS Health

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Location:
United States

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Category:
IT - Administration

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Contract Type:
Employment contract

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Salary:

100000.00 - 231540.00 USD / Year

Job Description:

The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic leadership and operational oversight of Aetna's three primary provider portal solutions: Availity Commercial/Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This role partners with our DDAT teams to develop the portal strategy and roadmap. Encompasses ownership for performance, vendor relationships, compliance, and team leadership, ensuring the delivery of exceptional provider experiences and operational excellence.

Job Responsibility:

  • Develop and execute comprehensive portal strategies and roadmaps aligned with prioritized provider experience initiatives and workflow requirements
  • Oversee portal performance, including file/data processing, system uptime, outage management, defect resolution, and incident response coordination
  • Manage portal vendor relationships, including contract renewals, administration, invoicing (over $16M), payment processes, and regular business reviews
  • Ensure ongoing compliance through annual security risk assessments, user entitlement validation, recertification, business continuity planning, and process documentation
  • Lead cross-functional teams to deliver projects and programs from initiation through completion
  • Provide leadership and guidance to project and program teams

Requirements:

  • 10+ years of healthcare experience, preferably working with network and provider related operations and strategy
  • 5+ years leading and developing high functioning teams
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Adept at business intelligence
  • Adept at collaboration and teamwork
  • Mastery of problem solving and decision making skills
  • Mastery of growth mindset (agility and developing yourself and others) skills
  • Bachelor's degree preferred/specialized training/relevant professional qualification

Nice to have:

Experience with digital portal and/or self-service capabilities

What we offer:
  • Affordable medical plan options
  • 401(k) plan with matching company contributions
  • Employee stock purchase plan
  • 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:
November 29, 2025

Expiration:
December 31, 2025

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