Lead Director, Network Management – Southern California

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🔥 6 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

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CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

📋 Description

• developing strategic partnerships • designing conceptual models • negotiating high value contracts • leading a negotiation Team focused on Health Systems, Hospitals and Medical Groups • managing contract performance with key focus on provider engagement and financial results • collaborating cross-functionally with internal Teams • evaluating and implementing provider network strategic plans • resolving escalated issues related to claims payment, contract interpretation

🎯 Requirements

• 10+ years related experience • expert level negotiation skills • successful track record negotiating contracts • command of financials and pricing strategies • collaboration with Contract Negotiators and Sr. Network Managers • proven working knowledge of provider financial issues • health plan/payer or large provider systems knowledge and experience • proven analytical and financial skills • proficient with Microsoft Office Software (Excel, Power Point and Word)

🏖️ Benefits

• medical, dental, and vision coverage • paid time off • retirement savings options • wellness programs • other resources, based on eligibility