Executive Director, National Network Management - Aetna

CVS Health

13d • Remote

About The Position

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.

Requirements

• 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.
• 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
• Bachelor’s Degree

Nice To Haves

• Provider relations experience will be valued

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.

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive