Lead Director, Network Management (Value-Based Care)
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). Use - for any list of duties/requirements/benefits, and
for prose. Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones.
We need to extract substantive content.
Let's parse the posting:
First paragraph: "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."
That's about the company and role context. Could be "About the role" or "About CVS Health". We'll treat as "About the role".
Next: "This person must sit in KY, IL, MO, MN, WI, SD, ND, IN, IA, CO, OH, KS, NE, MI**". That's location requirement. Could be part of "Requirements" or "Qualifications". It's location constraint. We'll include in "Requirements" maybe.
Then "Position Summary" paragraph: "This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning successfully and working to improve quality of care while reducing costs. Additionally, this position will include supervisory responsibilities for VBS Provider Performance team members. This role is strategically designed to provide dedicated leadership and oversight for Medicaid value-based care (VBC) initiatives across the Central Region. This position carries broad responsibility for the development, execution, and oversight of Medicaid focused value-based contracting and provider performance strategies within these two key markets."
That's a summary; could be part of "About the role" or separate "Position Summary". But we can incorporate into About the role.
Then "Key Responsibilities" bullet list (actually paragraphs). Let's extract each bullet as list items.
List items:
- Understands the terms of the value based contract arrangements to answer questions/address issues.
- Responsible for establishing and maintaining productive, professional relationships.
- Educates internal and external parties as needed to ensure compliance with contract terms and expectations
- Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.)
- Assists with workflow development and strategies to integrate data and reporting
- Works independently to manage relationships and identify/implement solutions to problems
- Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
- Drives improvement in deal performance for multiple lines of business, complex models, and/or advanced national provider partners
- Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets.
- Adept at identifying issues or trends in reporting.
- Assumes supervisory responsibilities for VBS Provider Performance team members
- Identifies improvement opportunities.
- Provides strategy consultation on actions/tactics to make needed improvements
- Assists Executive Director, Provider Performance, in developing and driving strategies to achieve organizational goals
- Serves as support and back-up to Executive Director, Provider Performance, as needed
- Drives and monitors consistency and adherence to policies/protocols of department
- Assists in identification and promotion of best practices within Team
- Identifies training and/or educational needs within Team
- Oversees training plan for new Team colleagues
That's many items; we can put them in a
.
Then "Required Qualifications" list:
- 10 years experience in a health plan, health system or provider organization, ACO / managed-care experience preferred.
- Strong understanding of Medicaid products, provider engagement, and regulatory compliance requirements.
- Experience directly managing people and/or Teams
- Self-directed individual with independent problem-solving skills
- Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels
- Experience managing matrixed environment with ability to leverage internal business partners to complete tasks
- Good interpersonal and communication skills
- Knowledge of healthcare and insurance industry
- Ability to form strong client relationships
Then "Preferred Qualifications":
- Adept at collaboration and teamwork with both internal and external partners
- Experience with Provider Contracting, Plan Design and Product Offerings
Then "Education": "Bachelor's degree preferred or a combination of professional work experience and education."
Then "Pay 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."
That's pay info; we should include a Pay section.
Then "Our people fuel our future..." etc. That's boilerplate about culture; could be omitted? It's not boilerplate legal/EEO but it's generic fluff. Might be considered filler but it's substantive? It's about company values. Might be okay to include in About the role.
Then "Great Benefits For Great People" paragraph: "We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments."
That's benefits; we should include Benefits section.
Then "We anticipate the application window for this opening will close on: 10/10/2026" - that's application instruction; we should remove per instruction: remove application instructions.
Then "Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws." That's EEO boilerplate; remove.
Thus sections: About the role (including mission statement and position summary), Responsibilities (Key Responsibilities), Requirements (maybe combine Required Qualifications and location?), Qualifications (maybe Preferred Qualifications and Education?), Benefits, Pay.
We need to avoid thin sections; maybe combine Required Qualifications and Preferred Qualifications into a single "Qualifications" section with subheadings? But instruction says use for section headings; we can have multiple sections. It's okay to have many sections if they have substantive content. But they said prefer a few substantive sections over many thin ones. So we could have About the role, Responsibilities, Qualifications (including required, preferred, education), Benefits, Pay. That's 5 sections.
Location requirement: "This person must sit in KY, IL, MO, MN, WI, SD, ND, IN, IA, CO, OH, KS, NE, MI". Could be placed in Qualifications under a bullet "Location: must be located in one of the following states: KY, IL, MO, MN, WI, SD, ND, IN, IA, CO, OH, KS, NE, MI". Or we could put in About the role? Better in Qualifications.
Now we need to output only HTML fragment, no /, no markdown fences.
We'll produce something like:
About the role
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.
This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning successfully and working to improve quality of care while reducing costs. Additionally, this position will include supervisory responsibilities for VBS Provider Performance team members. This role is strategically designed to provide dedicated leadership and oversight for Medicaid value-based care (VBC) initiatives across the Central Region. This position carries broad responsibility for the development, execution, and oversight of Medicaid focused value-based contracting and provider performance strategies within these two key markets.
Responsibilities
- Understands the terms of the value based contract arrangements to answer questions/address issues.
- Responsible for establishing and maintaining productive, professional relationships.
- Educates internal and external parties as needed to ensure compliance with contract terms and expectations
- Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.)
- Assists with workflow development and strategies to integrate data and reporting
- Works independently to manage relationships and identify/implement solutions to problems
- Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
- Drives improvement in deal performance for multiple lines of business, complex models, and/or advanced national provider partners
- Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets.
- Adept at identifying issues or trends in reporting.
- Assumes supervisory responsibilities for VBS Provider Performance team members
- Identifies improvement opportunities.
- Provides strategy consultation on actions/tactics to make needed improvements
- Assists Executive Director, Provider Performance, in developing and driving strategies to achieve organizational goals
- Serves as support and back-up to Executive Director, Provider Performance, as needed
- Drives and monitors consistency and adherence to policies/protocols of department
- Assists in identification and promotion of best practices within Team
- Identifies training and/or educational needs within Team
- Oversees training plan for new Team colleagues
Qualifications
Required:
- 10 years experience in a health plan, health system or provider organization, ACO / managed-care experience preferred.
for prose. Do NOT repeat the job title as a heading (the page already shows it) and do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Preserve ALL substantive information; do NOT invent or summarize away detail. Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines, and application instructions. IMPORTANT: include a section ONLY when the posting has real, specific content for it — never emit a heading followed by filler/placeholder text (e.g. "commensurate with experience", "not specified", "N/A", "varies", "TBD") and never create Pay/Schedule/Benefits sections unless the posting actually states them. Prefer a few substantive sections over many thin ones. We need to extract substantive content. Let's parse the posting: First paragraph: "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." That's about the company and role context. Could be "About the role" or "About CVS Health". We'll treat as "About the role". Next: "This person must sit in KY, IL, MO, MN, WI, SD, ND, IN, IA, CO, OH, KS, NE, MI**". That's location requirement. Could be part of "Requirements" or "Qualifications". It's location constraint. We'll include in "Requirements" maybe. Then "Position Summary" paragraph: "This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning successfully and working to improve quality of care while reducing costs. Additionally, this position will include supervisory responsibilities for VBS Provider Performance team members. This role is strategically designed to provide dedicated leadership and oversight for Medicaid value-based care (VBC) initiatives across the Central Region. This position carries broad responsibility for the development, execution, and oversight of Medicaid focused value-based contracting and provider performance strategies within these two key markets." That's a summary; could be part of "About the role" or separate "Position Summary". But we can incorporate into About the role. Then "Key Responsibilities" bullet list (actually paragraphs). Let's extract each bullet as list items. List items: - Understands the terms of the value based contract arrangements to answer questions/address issues. - Responsible for establishing and maintaining productive, professional relationships. - Educates internal and external parties as needed to ensure compliance with contract terms and expectations - Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.) - Assists with workflow development and strategies to integrate data and reporting - Works independently to manage relationships and identify/implement solutions to problems - Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives - Drives improvement in deal performance for multiple lines of business, complex models, and/or advanced national provider partners - Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets. - Adept at identifying issues or trends in reporting. - Assumes supervisory responsibilities for VBS Provider Performance team members - Identifies improvement opportunities. - Provides strategy consultation on actions/tactics to make needed improvements - Assists Executive Director, Provider Performance, in developing and driving strategies to achieve organizational goals - Serves as support and back-up to Executive Director, Provider Performance, as needed - Drives and monitors consistency and adherence to policies/protocols of department - Assists in identification and promotion of best practices within Team - Identifies training and/or educational needs within Team - Oversees training plan for new Team colleagues That's many items; we can put them in a
- .
Then "Required Qualifications" list:
- 10 years experience in a health plan, health system or provider organization, ACO / managed-care experience preferred.
- Strong understanding of Medicaid products, provider engagement, and regulatory compliance requirements.
- Experience directly managing people and/or Teams
- Self-directed individual with independent problem-solving skills
- Proven ability to interact with, influence and collaborate with internal and external stakeholders at all levels
- Experience managing matrixed environment with ability to leverage internal business partners to complete tasks
- Good interpersonal and communication skills
- Knowledge of healthcare and insurance industry
- Ability to form strong client relationships
Then "Preferred Qualifications":
- Adept at collaboration and teamwork with both internal and external partners
- Experience with Provider Contracting, Plan Design and Product Offerings
Then "Education": "Bachelor's degree preferred or a combination of professional work experience and education."
Then "Pay 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."
That's pay info; we should include a Pay section.
Then "Our people fuel our future..." etc. That's boilerplate about culture; could be omitted? It's not boilerplate legal/EEO but it's generic fluff. Might be considered filler but it's substantive? It's about company values. Might be okay to include in About the role.
Then "Great Benefits For Great People" paragraph: "We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments."
That's benefits; we should include Benefits section.
Then "We anticipate the application window for this opening will close on: 10/10/2026" - that's application instruction; we should remove per instruction: remove application instructions.
Then "Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws." That's EEO boilerplate; remove.
Thus sections: About the role (including mission statement and position summary), Responsibilities (Key Responsibilities), Requirements (maybe combine Required Qualifications and location?), Qualifications (maybe Preferred Qualifications and Education?), Benefits, Pay.
We need to avoid thin sections; maybe combine Required Qualifications and Preferred Qualifications into a single "Qualifications" section with subheadings? But instruction says use
- Understands the terms of the value based contract arrangements to answer questions/address issues.
- Responsible for establishing and maintaining productive, professional relationships.
- Educates internal and external parties as needed to ensure compliance with contract terms and expectations
- Coordinates and prepares for external provider meetings and ensures that the most impactful internal subject matter experts (clinical, pharmacy, financial, analytical, etc.) are utilized to optimize performance. (External meetings include JOCs, clinical meetings, Informatics discussions, contract reconciliations, etc.)
- Assists with workflow development and strategies to integrate data and reporting
- Works independently to manage relationships and identify/implement solutions to problems
- Drives provider performance and partners with local market to ensure pathways to performance against business and team objectives
- Drives improvement in deal performance for multiple lines of business, complex models, and/or advanced national provider partners
- Leverages reporting/data to monitor contract performance against financial, clinical, cost and efficiency targets.
- Adept at identifying issues or trends in reporting.
- Assumes supervisory responsibilities for VBS Provider Performance team members
- Identifies improvement opportunities.
- Provides strategy consultation on actions/tactics to make needed improvements
- Assists Executive Director, Provider Performance, in developing and driving strategies to achieve organizational goals
- Serves as support and back-up to Executive Director, Provider Performance, as needed
- Drives and monitors consistency and adherence to policies/protocols of department
- Assists in identification and promotion of best practices within Team
- Identifies training and/or educational needs within Team
- Oversees training plan for new Team colleagues
- 10 years experience in a health plan, health system or provider organization, ACO / managed-care experience preferred.
for section headings; we can have multiple sections. It's okay to have many sections if they have substantive content. But they said prefer a few substantive sections over many thin ones. So we could have About the role, Responsibilities, Qualifications (including required, preferred, education), Benefits, Pay. That's 5 sections.
Location requirement: "This person must sit in KY, IL, MO, MN, WI, SD, ND, IN, IA, CO, OH, KS, NE, MI". Could be placed in Qualifications under a bullet "Location: must be located in one of the following states: KY, IL, MO, MN, WI, SD, ND, IN, IA, CO, OH, KS, NE, MI". Or we could put in About the role? Better in Qualifications.
Now we need to output only HTML fragment, no /, no markdown fences.
We'll produce something like:
About the role
About the role
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.
This role will be accountable for the strategic alignment, operational success and performance management of assigned provider relationships with the most complex/high value initiatives and/or highest risk and revenue generating provider systems, network and value-based relationships. Ensures that assigned value based contract arrangements are functioning successfully and working to improve quality of care while reducing costs. Additionally, this position will include supervisory responsibilities for VBS Provider Performance team members. This role is strategically designed to provide dedicated leadership and oversight for Medicaid value-based care (VBC) initiatives across the Central Region. This position carries broad responsibility for the development, execution, and oversight of Medicaid focused value-based contracting and provider performance strategies within these two key markets.
Responsibilities
Qualifications
Required: