AVP, National Network Contracting - Aetna

Overview At CVS Health, we are a leading health solutions company focused on transforming health care and serving millions of Americans through local presence, digital channels, and a large team of colleagues dedicated to compassionate care. The AVP, National Accounts - Network Management is a senior leadership role within the Aetna Network organization. This position provides strategic oversight and execution of national network strategies across CVS Health's largest health system partnerships and is key to advancing CVS Health's integrated care delivery model and national growth strategy. The AVP will lead enterprise-wide initiatives to optimize network performance, manage cost structures, and ensure alignment with national and local market goals across Commercial, Medicaid, and Medicare lines of business. The role includes direct leadership of account leads for major health systems such as HCA. Key Responsibilities Strategic Leadership Develop and execute a comprehensive national network strategy informed by data-driven insights and market intelligence. Leverage CVS Health/'s integrated assets to drive innovation, cost efficiency, and quality outcomes across all national accounts. Executive Negotiations Lead and oversee complex, high-value negotiations with large national health systems, securing favorable terms and long-term, sustainable partnerships across all lines of business. Operational Oversight Ensure network infrastructure supports adequacy, compliance, cost containment, and profitability goals. Drive operational excellence through process simplification, centralization, and cross-functional collaboration. Regulatory & Legal Representation Serve as the corporate representative in high-stakes legal and regulatory matters, including DOJ Civil Investigative Demands, FTC merger inquiries, DOI investigations, and provider dispute resolution. Partner with Legal and Compliance to mitigate risk and ensure enterprise-wide compliance. Cross-Functional Collaboration Partner with Clinical, Actuarial, Product, and Market teams to manage medical cost trends, support growth initiatives, and ensure strategic alignment across national and local markets. Executive Engagement Build and maintain strong relationships with Market Presidents, CFOs, and Medicare General Managers. Represent the organization in high-stakes meetings, conferences, and negotiations with senior provider executives. Innovation & Expansion Champion new contracting models and value-based care initiatives. Lead national expansion efforts and promote adoption of non-traditional network strategies. Team Leadership Lead and inspire a high-performing, geographically dispersed team. Foster a culture of accountability, innovation, and collaboration. Qualifications Approximately 13+ years of progressive leadership experience in healthcare network management, including national contracting and provider relations Proven success in leading complex negotiations with large health systems and hospitals Knowledge of value-based care levers Strong strategic thinking and enterprise-level perspective Exceptional executive presence and communication skills Demonstrated ability to lead cross-functional teams in a matrixed environment Deep understanding of healthcare economics, regulatory frameworks, and market dynamics Experience managing large, geographically dispersed teams Travel Requirement: 10-25% Education: Bachelor/'s degree or equivalent Location: Remote Pay and Benefits Pay Range: The typical pay range for this role is $157,800.00 - $363,936.00. This pay range represents the base salary for all positions in the job grade. The actual base salary offer will depend on factors such as 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. Benefits 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. 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 addressing diverse needs including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and more (eligibility dependent). For more information, visit this page for benefits information. We anticipate the application window for this opening will close on 09/29/2025. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. #J-18808-Ljbffr

Created: 2025-09-24