Position SummaryThe Lead Director, Network Management is accountable for designing conceptual models, initiative planning, and negotiating Commercial/Medicare Advantage agreements with Texas providers, including health systems, clinically integrated networks, IPAs, FQHCs and others, in accordance with company standards in order to maintain and enhance Commercial/Medicare Advantage provider networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, regulatory, and financial goals and cost initiatives.
Required Qualifications- 10+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex national vendors/providers.
- Proven working knowledge of provider financial issues and competitor strategies, complex contracting options, financial/contracting arrangements, and regulatory requirements.
- Demonstrated ability to identify and manage initiatives that improve total medical cost and quality.
- Health Plan/Payer or Provider Systems experience
- Must reside in Texas
Preferred Qualifications- Experience with Commercial/Medicare Advantage Fee-for-Service contract:
- Commercial/Medicare Advantage regulatory experience
- Commercial/Medicare Advantage contracting & setup experience.
- Working Knowledge of Value-Based Contracting
EducationBachelor's degree or equivalent professional work experience.
Pay RangeThe typical pay range for this role is:
$100,000.00 - $231,540.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program.
Great benefits for great peopleWe take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
This full-time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well-being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.
Additional details about available benefits are provided during the application process and on Benefits Moments.
We anticipate the application window for this opening will close on: 10/31/2026
