CVS Health
Bringing our heart to every moment of your health.
Lead Director, Network Management – Pacific Northwest
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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