Lead Director Network Platform Solutions

CVS Health • Hartford, CT

7d • Hybrid

About The Position

CVS Health is seeking a transformational leader to drive a multi-year initiative to consolidate provider data into a trusted enterprise source of truth. The Lead Director, Network Platform Solutions will own the strategy and execution of QNXT Medicaid provider data migration, platform standardization, and operational transition while maintaining the stability of the existing provider data platform. The role oversees migration activities including profiling, mapping, transformation, remediation, validation, reconciliation, and cutover, and partners with the enterprise Provider Data Governance team to apply established standards and resolve migration-specific data decisions.

The position also oversees day-to-day support of existing Medicaid provider data tools, balancing production support, defect remediation, and essential enhancements with migration priorities. The Lead Director will lead organizational readiness and change management, engage senior leaders on progress and strategic decisions, and lead and develop a high-performing team responsible for transformation delivery and operational excellence.

This role supports a hybrid work environment. If selected and living near a suitable work location, the employee may be expected to work onsite three days per week under the hybrid work policy. Aetna Service Operations office or hub locations will be discussed with the selected candidate. The position is full-time and includes a base salary range of $100,000 to $231,540, with eligibility for a CVS Health bonus, commission or short-term incentive program and an equity award target. Benefits are based on eligibility and include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources.

Requirements

• 10+ years of experience leading large-scale enterprise transformation, data modernization, platform migration, or operational transformation initiatives.
• 5 years of experience managing and overseeing team performance, development, and accountability.
• Proven success leading complex system migrations and consolidations involving significant organizational change.
• Experience with complex data profiling, mapping, remediation, validation, and reconciliation.
• Strong understanding of enterprise data governance standards, data management, data quality, and governance principles.
• Demonstrated ability to influence executive stakeholders and drive alignment across business and technology organizations.
• Experience developing and executing change management and stakeholder engagement strategies.
• Bachelor’s degree or equivalent work experience.

Nice To Haves

• Healthcare experience, particularly within Medicaid, provider operations, network management, credentialing, or provider data domains.
• Experience with QNXT and healthcare platform transformation initiatives.

Responsibilities

• Own the strategy and execution of QNXT Medicaid provider data migration, platform standardization, and operational transition while ensuring stability of the existing platform.
• Oversee migration activities, including data profiling, mapping, transformation, remediation, validation, reconciliation, and cutover.
• Establish migration controls and success measures; manage risks, dependencies, critical decisions, and executive reporting.
• Identify and resolve duplicate, conflicting, incomplete, and other problematic data conditions that could affect migration or downstream operations.
• Establish readiness criteria and measures for conversion accuracy, reconciliation, data acceptance, and post-migration performance.
• Lead root-cause analysis and remediation of migration-related data issues according to business, operational, and regulatory impact.
• Partner with the Provider Data Governance team to apply policies, definitions, ownership models, and quality standards throughout migration.
• Oversee day-to-day support of existing Medicaid provider data tools, ensuring service performance, compliance, stability, and business continuity.
• Balance production support, defect remediation, and essential enhancements with migration priorities.
• Define and execute the operational transition plan as legacy platform capabilities are reduced or retired.
• Establish metrics and reporting for platform performance, operational risks, and transition readiness.
• Drive stakeholder alignment and organizational readiness across impacted business, operational, and technology teams.
• Develop communication, training, adoption, and transition strategies to support implementation and sustained business value.
• Provide transparency into migration progress, data readiness, conversion quality, and issue resolution to build confidence in future-state capabilities.
• Advise senior leaders on progress, risks, tradeoffs, and strategic decisions requiring executive alignment.
• Lead and develop a high-performing team responsible for transformation delivery and operational excellence.
• Foster accountability, collaboration, continuous improvement, and data-driven decision making.

Benefits

• Medical insurance
• Dental insurance
• Vision insurance
• Paid time off
• Retirement savings options
• Wellness programs
• Other resources, based on eligibility
• CVS Health bonus, commission, or short-term incentive program eligibility
• Equity award target

What This Job Offers

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