Lead Director, Network Management

CVS Health

. Design conceptual models and plan initiatives .

Posted 9/28/2026full-timeRemote • Texas • United StatesSenior💰 $100,000 - $231,540 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in negotiating complex contracts within the Commercial and Medicare Advantage sectors, with a strong focus on provider network management and regulatory compliance. Proven ability to enhance financial arrangements and improve medical cost and quality outcomes.

Highest-signal resume keywords

Expert-Level Negotiation SkillsCommercial/Medicare Advantage Contracting ExperienceProvider Financial Issues KnowledgeValue-Based Contracting KnowledgeHealth Plan/Payer Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationProvider Network ManagementFinancial ArrangementsRegulatory ComplianceCost Initiative Management

Soft Skills

Cross-Functional CollaborationStrategic Planning

Industry Keywords

Medicare AdvantageCommercial ContractsClinically Integrated NetworksFQHCsIPAsTexas Providers

About the role

Key responsibilities & impact

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 ensure consistency with contracting strategies
Meet and exceed accessibility, quality, compliance, regulatory, financial, and cost initiative goals

Requirements

What you’ll need

10+ years 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: Commercial/Medicare Advantage Fee-for-Service contract experience
Preferred: Commercial/Medicare Advantage regulatory experience
Preferred: Commercial/Medicare Advantage contracting and setup experience
Preferred: Working knowledge of Value-Based Contracting

Benefits

Comp & perks

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