Lead Director, Network Management

Job not on LinkedIn

🔥 1 minute ago

🤠 Texas – Remote

infoinfo

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

Where this job comes from

Posted on CVS Health Careers's careers page, not through a job board

First seen by Remote Rocketship 1 minute ago

Logo of CVS Health Careers

CVS Health Careers

10,000+ employees

🏥 Healthcare

🛒 Retail

📦 Logistics

Healthcare • Retail • Logistics

CVS Health Careers is the recruitment and employer branding arm of CVS Health, showcasing job opportunities across the company's broad operations—pharmacy retail stores, pharmacy services, health care clinics, distribution warehouses, corporate functions and transportation. The careers site emphasizes purpose-driven work focused on improving access, affordability and quality of health care, and highlights a large workforce (300,000+ employees), inclusive culture, benefits, and hiring resources for applicants.

📋 Description

• Design conceptual models and plan initiatives • Negotiate Commercial/Medicare Advantage agreements with Texas providers, including health systems, clinically integrated networks, IPAs, FQHCs, and others • Maintain and enhance Commercial/Medicare Advantage provider networks • Work cross-functionally to align contracting activities with company strategies • Meet and exceed accessibility, quality, compliance, regulatory, and financial goals and cost initiatives

🎯 Requirements

• 10+ years of related experience • Expert-level negotiation skills with a successful track record negotiating contracts with large or complex national vendors/providers • Working knowledge of provider financial issues and competitor strategies • Knowledge of complex contracting options, financial/contracting arrangements, and regulatory requirements • Ability to identify and manage initiatives that improve total medical cost and quality • Health Plan/Payer or Provider Systems experience • Must reside in Texas • Bachelor's degree or equivalent professional work experience • Preferred: experience with Commercial/Medicare Advantage Fee-for-Service contracts • Preferred: Commercial/Medicare Advantage regulatory experience • Preferred: Commercial/Medicare Advantage contracting and setup experience • Preferred: working knowledge of value-based contracting

🏖️ Benefits

• Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being • CVS Health bonus, commission or short-term incentive program • Equity award program

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