Lead Director, Network Management

4062 Aetna Resources, LLC; Texas; Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Medical, dental, vision

Paid time off

Retirement savings options

Wellness programs

Job summary

CVS Health is seeking a Lead Director, Network Management to design models, plan initiatives and negotiate Commercial/Medicare Advantage agreements with Texas providers. You will work across teams to align contracting strategies with accessibility, quality, compliance and cost goals.

The role requires 10+ years of negotiation experience, provider contracting knowledge, and Texas residency. A Bachelor's degree or equivalent experience is preferred.

Qualifications

• 10+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex national vendors/providers.
• Proven working knowledge of provider financial issues and regulator y requirements and contracting options.
• Demonstrated ability to identify and manage initiatives that improve total medical cost and quality.
• Must reside in Texas.

Responsibilities

• Design conceptual models, initiative planning and negotiating Commercial/Medicare Advantage agreements with Texas providers.
• Work cross-functionally to ensure consistency with contracting strategies and accessibility, quality, compliance, and financial goals.
• Contribute to cost initiatives and provider network enhancements.

Skills

Negotiation skills

Provider contracting

Cross-functional collaboration

Regulatory understanding

Education

Bachelor's degree or equivalent

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.

Position Summary

The Lead Director, Network Management is accountable for designing conceptual models, initiative planning, and negotiating Commercial\Medicare Advantage agreements with Texas providers, including health systems, clinically integrated networks, IPAs, FQHCs and others, in accordance with company standards in order to maintain and enhance Commercial\Medicare Advantage provider networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, regulatory, and financial goals and cost initiatives.

Required Qualifications

• 10+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex national vendors/providers.
• Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.
• Demonstrated ability to identify and manage initiatives that improve total medical cost and quality.
• Health Plan/Payer or Provider Systems experience
• Must reside in Texas

Preferred Qualifications

Experience with Commercial\Medicare Advantage Fee-for-Service contract: Commercial\Medicare Advantage regulatory experience Commercial\Medicare Advantage contracting & setup experience. Working Knowledge of Value-Based Contracting Education Bachelor's degree or equivalent professional work experience.

Pay Range

The typical pay range for this role is: $100,000.00 - $231,540.00 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 offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 10/31/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.