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Lead Director – Network Activation
CVS HealthLead Director responsible for strategic leadership in provider enrollment at CVS Health. Fostering a high-performance culture and ensuring compliance in healthcare operations.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive leadership in provider enrollment and healthcare operations, with a focus on strategic direction, team development, and regulatory compliance. Proven ability to drive operational initiatives and manage large-scale enrollment processes across Medicare, Medicaid, and commercial payers.
Highest-signal resume keywords
Provider Enrollment ManagementLeadership DevelopmentMedicare Enrollment OperationsRegulatory CompliancePerformance Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Provider EnrollmentCredentialing ProcessesHealthcare OperationsRevenue Cycle ManagementOperational InitiativesProcess ImprovementsOrganizational Growth StrategiesSuccession PlanningPerformance Expectations MonitoringTeam Leadership
Soft Skills
CoachingMentoringCollaborationAccountabilityEngagement
Tools & Technologies
CMS RegulationsPECOSNPPESCAQHMedicaid Management Information Systems (MMIS)
Industry Keywords
MedicareMedicaidCommercial Payer ProgramsProvider ReimbursementEnrollment Strategies
About the role
Key responsibilities & impact- Provide strategic leadership and direction to a team of Manager-level leaders responsible for provider enrollment and network activation functions.
- Develop and maintain a high-performing leadership team through coaching, mentoring, succession planning, and professional development initiatives.
- Foster a culture of accountability, collaboration, engagement, and continuous learning across the department.
- Establish clear performance expectations, monitor results, and drive achievement of departmental and organizational goals.
- Direct enterprise-wide enrollment strategies for Medicare, Medicaid, and commercial payer programs to ensure timely provider participation and regulatory compliance.
- Serve as the executive leader responsible for mitigating enrollment-related revenue risks and ensuring provider reimbursement readiness.
Requirements
What you’ll need- Minimum of 10 years of progressive leadership experience in provider enrollment, payer enrollment, credentialing, healthcare operations, or revenue cycle management
- Minimum of 3 years of experience leading leaders, including direct management of Manager-level teams
- Demonstrated experience managing Medicare, Medicaid, and commercial payer enrollment operations
- Proven success leading large-scale operational initiatives, process improvements, and organizational growth strategies
- Strong coaching, mentoring, performance management, and succession planning capabilities.
- Comprehensive knowledge of provider enrollment and credentialing processes within government and commercial payer environments.
- Deep understanding of CMS regulations, PECOS, NPPES, CAQH, Medicaid Management Information Systems (MMIS), and commercial payer enrollment requirements.
Benefits
Comp & perks- medical, dental, and vision coverage
- paid time off
- retirement savings options
- wellness programs
- comprehensive benefits package