CVS Health

Bringing our heart to every moment of your health.

Lead Director, Network Management – Pacific Northwest

DirectorDirectorFull TimeRemoteTeam 10,001+Since 1963H1B No SponsorCompany SiteLinkedIn

Location

Idaho + 4 moreAll locations: Idaho, Montana, New Mexico, Utah, Washington

Posted

36 days ago

Salary

$100K - $231.5K / year

Bachelor Degree8 yrs expEnglish

Job Description

• The Lead Director will be accountable for developing strategic partnerships to ensure Aetna has market leading discount and cost positions and high value, competitive networks • Strong focus on designing conceptual models, initiative planning, and negotiating high value contracts with the most complex and challenging hospital systems, integrated delivery systems and large groups • Contracting responsibilities include Medicare and Commercial • Key focus on building strong relationships with providers and developing and executing contract strategies • Accountable for cost arrangements within defined groups • Collaborates cross-functionally to manage provider compensation and pricing development activities • Responsible for identifying and managing cost issues and collaborating cross-functionally to execute significant cost saving initiatives • Represents company with high visibility constituents, including customers and community groups • Helps mentor and develop others within the department by providing shadowing opportunities

Job Requirements

  • A minimum of 8 years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex provider systems
  • Demonstrated knowledge of value-based contracting structures, including negotiation and implementation of agreements that align cost, quality, and performance outcomes across stakeholders
  • Experience with Medicare, Commercial contracting and various reimbursement methodologies
  • Demonstrated ability to build, manage, and grow strategic relationships that advance long-term organizational goals
  • Experience presenting complex information to groups in a clear, concise, and persuasive manner, adapting style and content to audience needs

Benefits

  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including 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

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