Executive Director, National Network Management - Aetna at CVS Health

, Connecticut, United States -

Full Time

Start Date

Immediate

Expiry Date

19 Jun, 26

Salary

303195.0

Posted On

21 Mar, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

National Network Management, Strategic Relationship Management, National Contracting, Cost Optimization, Operational Excellence, Account Executive Management, Enterprise-wide Negotiations, Provider Relationship Management, Contracting Strategy, Executive Presence, Executive Presentations, Cost Containment, Medical Economics, Market Dynamics Analysis, Regulatory Compliance, Strategic Partnerships

Industry

Hospitals and Health Care

Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The Executive Director, Network National Accounts is responsible for leading the strategic relationship and national contracting efforts with a large national provider system. This role drives enterprise-wide network strategy focused on cost optimization, local market performance, and operational excellence across our Commercial, Medicare, and Medicaid lines of business. It ensures alignment with CVS Health’s integrated care delivery model and national goals. The position also includes direct oversight of account executive management, ensuring strategic alignment, performance accountability, and operational excellence across the Tenet relationship. Major Responsibilities Lead a national contracting team in enterprise-wide negotiations with large national provider, ensuring alignment with CVS Health’s strategic priorities. Manage the provider relationship, ensuring consistent execution of strategic initiatives, performance metrics, and relationship management. Develop and implement innovative national contracting strategies that leverage CVS Health’s integrated assets, including the care delivery model. Achieve strategic national network goals by successfully closing provider negotiations, managing day-to-day operations, and overseeing the full contracting lifecycle from strategy through execution. Drive execution and closure of complex national provider agreements, ensuring alignment with enterprise cost, adequacy, and compliance standards. Demonstrate strong executive presence in high-level engagements, facilitating strategic discussions with senior leadership to ensure alignment and support. Deliver compelling executive-level presentations that influence decision-making and advance enterprise-wide initiatives. Provide strategic direction and coaching to account executives to ensure high-impact engagement with Tenet and internal stakeholders. Manage the operational performance and infrastructure of the Tenet network to meet cost containment, profitability, and regulatory goals. Collaborate with Clinical and Medical Economics teams to analyze market trends and implement cost management strategies that improve medical cost outcomes. Evaluate market dynamics and partner with Clinical Functions to drive national initiatives that improve cost structure and partnership effectiveness. Oversee national agreements, Joint Operating Committees (JOCs), and complex projects, streamlining and centralizing operational processes for efficiency and scalability. Represent the organization in high-stakes negotiations and external engagements, ensuring alignment with legal, regulatory, and reputational standards. Establish national network strategy and drive innovation across traditional and emerging care models for all lines of business. Lead expansion efforts and strategic partnerships with Tenet to support enterprise growth and market differentiation, aligned with local and national goals. Foster strong collaboration across local networks and enterprise functions to ensure internal alignment and successful external partnerships. Develop and deliver key messaging and represent the company at industry conferences, external forums, and provider negotiations. Build and maintain trusted relationships with Market Chief Network Officers and Territory Chief Network Officers, and engage with Market Presidents, CFOs, and Medicare GMs to align and execute strategies that drive profitable membership growth. Qualification 10+ years of experience in healthcare contracting, medical economics and field or national network experience. Experience negotiating contracts with large hospital systems, including complex negotiations. Provider relations experience will be valued High emotional intelligence and cultural agility, with the ability to build strong relationships across diverse regional markets Deep understanding of market dynamics, cost drivers, and regulatory environments. Strong understanding of CMS regulation Ability to think strategically and broadly from a national enterprise perspective. Strong presentation and communication skills; ability to consult as well as negotiate. Strong analytical skills including root cause analysis. Skilled at collaborating and working across a complex matrixed organization. Remote with ability to travel to providers and Hartford Education Bachelor’s Degree Pay Range The typical pay range for this role is: $131,500.00 - $303,195.00 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. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include: Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit https://jobs.cvshealth.com/us/en/benefits We anticipate the application window for this opening will close on: 03/27/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. Our Work Experience is the combination of everything that's unique about us: our culture, our core values, our company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They make choices according to what is best for the team, they live for opportunities to collaborate and make a difference, and they make us the #1 Top Workplace in the area.

Responsibilities

This role leads strategic national contracting efforts with large provider systems, driving enterprise-wide network strategy focused on cost optimization and operational excellence across Commercial, Medicare, and Medicaid lines of business. The Executive Director also directly oversees account executive management, ensuring strategic alignment and performance accountability, particularly concerning the Tenet relationship.