Lead Director, Network Management – Southern California

CVS Health

Lead Director managing provider networks with a focus on strategic partnerships and negotiations. Working with Aetna to enhance cost positions and improve quality for members.

Posted 6/17/2026full-timeRemote • California • 🇺🇸 United StatesSenior💰 $100,000 - $231,540 per yearWebsite

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Hard Skills

negotiation skillscontract negotiationfinancial analysispricing strategiesprovider financial issuesprovider network strategic plansclaims paymentcontract interpretationcontract performance management

Soft Skills

strategic partnership developmentcollaborationleadershipproblem resolution

Tools & Technologies

Microsoft OfficeExcelPowerPointWord

Industry Keywords

health systemshospitalsmedical groupshealth planpayerlarge provider systems

About the role

Key responsibilities & impact

developing strategic partnerships
designing conceptual models
negotiating high value contracts
leading a negotiation Team focused on Health Systems, Hospitals and Medical Groups
managing contract performance with key focus on provider engagement and financial results
collaborating cross-functionally with internal Teams
evaluating and implementing provider network strategic plans
resolving escalated issues related to claims payment, contract interpretation

Requirements

What you’ll need

10+ years related experience
expert level negotiation skills
successful track record negotiating contracts
command of financials and pricing strategies
collaboration with Contract Negotiators and Sr. Network Managers
proven working knowledge of provider financial issues
health plan/payer or large provider systems knowledge and experience
proven analytical and financial skills
proficient with Microsoft Office Software (Excel, Power Point and Word)

Benefits

Comp & perks

medical, dental, and vision coverage
paid time off
retirement savings options
wellness programs
other resources, based on eligibility