Lead Director, National Specialty Value-Based Care Contracting

CVS Health

5d • $100,000 - $231,540

About The Position

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. A Brief Overview Aetna is seeking a dynamic and strategic contracting lead director to join our National Value-Based Care (VBC) Specialty team. This role will be instrumental in shaping and expanding our specialty and innovative provider partnerships. The ideal candidate will bring a strong blend of strategic thinking, relationship management, and operational execution to accelerate the growth of our VBC portfolio. You will collaborate cross-functionally across the Network organization and with segment leaders to drive speed-to-market and deliver measurable impact.

Requirements

• A minimum of 10 years of experience in Payer and Provider Value based care.
• A minimum of 7 years of contract negotiations, ideally with a focus on Value Based care.
• Experience navigating a highly matrixed environment.
• Proven ability in creating high-impact presentations for executive audiences and presenting complex information in a clear, concise manner.

Nice To Haves

• Experience in Value Based Care financial models.
• Experience in Risk-based arrangements and Value Based care in government services.

Responsibilities

• Strategic Partnership Development: Lead the end-to-end process of identifying, evaluating, and executing contracts with specialty and innovative provider organizations that align with Aetna’s VBC strategy.
• Relationship Management: Cultivate and manage executive-level relationships with specialty and early-stage provider partners. Serve as a trusted advisor and strategic thought partner to drive mutual growth and innovation.
• Market Intelligence & Thought Leadership: Conduct in-depth analysis of specialty care landscapes and emerging financial models. Educate internal stakeholders on industry trends, competitive positioning, and partnership opportunities.
• Financial Modeling & Contracting: Collaborate with finance, analytics, and actuarial teams to design and validate financial models that support scalable VBC arrangements. Lead contract negotiations to ensure alignment with enterprise goals.
• Cross-Functional Execution: Partner with Network, Line of Business Segments, Clinical, and Operations teams to ensure timely deployment and operationalization of contracts
• Innovation & Pilot Development: Drive the launch of new value-based payment models. Lead pilot initiatives, monitor performance, and assess ROI to inform enterprise-wide scaling.
• Internal Collaboration & Communication: Act as a liaison among internal stakeholders including product, analytics, operations, and reimbursement teams to ensure alignment and execution of strategic initiatives.

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: Director
• Number of Employees: 5,001-10,000 employees