Lead Director, Network and Trend Optimization- Central Region Remote

Act as the primary point of contact for the Central Region between network, medical economics, clinical operations, finance team, and sales teams to align financial strategies with clinical objectives and market needs. Develop and execute strategic initiatives through pricing, network curation, and medical management that lead to sustainable long-term growth and revenue.Market Network Strategies
• Develop and implement strategies to align with network contracting priorities with commercial trend management goals.
• Ensure the organization maintains competitive network arrangements to support cost-effective and high-quality care delivery.
• Serves as the primary point of contact between Network Contracting and Commercial Teams for the Region.
• Collaborate with network teams, and sales to improve cost positions in core markets.
• Leverage high-value networks and innovative payment models to enhance care affordability and access.Medical Cost and Trend Management
• Identify and execute meaningful initiatives to mitigate trends and provide competitive products.
• Track and analyze industry trends and healthcare utilization benchmarks.
• Provide actionable insights to contracting teams to ensure strategic decision-making.
• Maintain rigorous discipline in reviewing and anticipating trends.
• Collaborate with Local Market Trend Committees and National Commercial Trend Committees.Sales Collaboration
• Partner with sales teams in top-tier priority markets to develop strategies that improve our network's cost position and support commercial objectives.Key Stakeholder Engagement
• Participate in high-level meetings with network leadership and commercial stakeholders to present findings, propose initiatives, and drive
decision-making processes.
• Act as a subject matter expert in network performance and trends for the Region.Performance Reporting and Monitoring
• Establish and oversee key performance indicators (KPIs) to track the success of implemented strategies and ensure continuous improvement. This position will play a pivotal role in achieving strategic priorities aligned with Aetna's focus:

• Develop and deliver regular updates to leadership on network performance and trend analysis.
• Create dashboards and reports that track progress toward achieving key performance indicators.
• Supporting commercial stakeholders and priority market needs to align network cost strategies with growth objectives.

Required Qualifications
• Minimum of 7-10 years in healthcare industry experience, network management, contracting, trend analytics, and/or related field.

• Strong understanding of healthcare systems, reimbursement models, healthcare cost trends, network contracting principles, and provider relations.
• Proven ability to analyze and interpret complex data sets to develop actionable strategies.
• finance, clinical operations, or network contracting.
• At least 5 years in a role involving cross-functional collaboration.
• Strong communication skills, including experience presenting to senior leadership.
• Strong analytical abilities with proficiency in data interpretation and financial modeling.
• Proven track record of implementing cost-saving initiatives without compromising quality of care.
• Ability to influence and drive change within a complex organizational structure.Preferred Qualifications
• Experience working with sales teams and commercial stakeholders.
• Experience with healthcare data analytics platforms and electronic health record (EHR) systems.
• Knowledge of regional healthcare regulations and reimbursement models.
• Certification in healthcare finance or management (e.g., HFMA, ACHE). Education

• Bachelor's degree preferred in healthcare administration, Finance, Business or a related field /specialized training/relevant professional qualificationPay Range

The 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.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 peopleWe 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/benefitsWe anticipate the application window for this opening will close on: 10/10/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Des Moines, IA

Job ID: CVS-R0704256_1002

Employment Type: OTHER

Posted: 2025-09-26T19:50:21