CVS Health

Executive Director, Network Management

CVS Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • North Carolina

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Salary

💰 $131,500 - $303,195 per year

Job Level

Lead

About the role

  • Oversees key Network Management contracting activities, including negotiating fee schedules, reimbursement rates, and contract terms and conditions.
  • Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating contracts, and establishing relationships with healthcare providers to ensure a comprehensive and high-quality network.
  • Contributes to optimizing the network's performance and effectiveness by analyzing network data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care.
  • Manages the performance of network providers, including tracking key performance indicators, analyzing provider performance data, and implementing performance improvement initiatives.
  • Conducts market analysis, assesses competitive landscapes, and makes recommendations for network expansion strategies.
  • Communicates findings to executive leadership and stakeholders, identifying opportunities for improvement and cost containment.
  • Manages operational aspects of the team, subsequently implementing workforce and succession plans to meet business goals and objectives.
  • Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of work area experience.

Requirements

  • 10+ years of experience in managed care; leading and managing teams.
  • Experience contracting with providers and hospital systems.
  • Strong analytical skills including root cause analysis.
  • Ability to think strategically.
  • Skilled at collaborating and working across a matrixed organization.
  • Expertise in market level management, cost drivers and levers, and knowledge of economic, regulatory and marketplace issues.
  • Possess exceptional leadership skills and transformational experience with a proven track record of delivering results.
  • Education Bachelor's Degree required.