> Markdown version of [/jobs/ext/248308-lead-director-network-management-kentucky](https://www.wearedevelopers.com/jobs/ext/248308-lead-director-network-management-kentucky). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Lead Director, Network Management (Kentucky) - **Company:** CVS Health - **Location:** United States (Remote available) - **Experience:** Expert - **Salary:** $100,000.0 - $231,540.0 - **Contract:** Permanent contract - **Skills:** Network Planning and Design, Network Administration - **Published:** May 23, 2026 - **Apply:** https://www.indeed.com/viewjob?jk=f693b467b055d751 ## About the Role Do you have experience in Terms and conditions negotiation?, Do you have a Bachelor's degree?, * A minimum of 10 years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex provider systems. * Demonstrated experience in Medicaid provider contracting, including negotiating, executing, and managing agreements with hospitals, physician groups, and ancillary providers * Hands-on experience with Behavioral Health (BH) network development and contracting, including providers across inpatient, outpatient, and community-based settings * Proven ability to manage the end-to-end contracting lifecycle (negotiation, redlining, implementation, and ongoing relationship management) * Strong knowledge of Medicaid regulations, state requirements, and network adequacy standards, with the ability to ensure compliance across market * Experience developing or supporting value-based arrangements and reimbursement models within Medicaid and Behavioral Health populations * Demonstrated ability to build, manage, and grow strategic relationships that advance long-term organizational goals. * Experience presenting complex information to groups in a clear, concise, and persuasive manner, adapting style and content to audience needs. Preferred Qualifications * Proven working knowledge of provider financial issues and competitor strategies. * Previous experience with leading a team. Education * Bachelor's Degree preferred or equivalent combination of education and experience ## Description The Kentucky Network Lead Director will be accountable for developing strategic partnerships for the Kentucky Medicaid Health Plan. Strong focus on designing conceptual models, initiative planning, and negotiating high value contracts with the most complex and challenging hospital systems, integrated delivery systems and large groups in accordance with company standards in order to maintain and enhance provider networks, while working cross functionally to ensure consistency with all contracting strategies and meeting and exceeding accessibility, quality, compliance, and financial goals and cost initiatives. Contracting responsibilities include Medicaid. * Key focus on building strong relationships with providers as well as developing and executing contract strategies and yield market leading discount and cost positions for Aetna as well as value-based relationships that improve the quality and financial performance of Aetna's networks for its members. Responsibilities include negotiation and management of various value based payment models and management of contract performance associated with these models with key focus on provider engagement. * Recruit providers as needed to ensure attainment of network expansion and adequacy targets. Accountable for cost arrangements within defined groups. Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities. * Responsible for identifying and managing cost issues and collaborating cross functionally to execute significant cost saving initiatives. Represents company with high visibility constituents, including customers and community groups. * Promotes collaboration with internal partners. Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and manage medical costs through effective provider contracting to meet state contract and product requirements. Collaborates with internal partners to assess effectiveness of tactical plan in managing costs. * Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information. * Helps mentor and develop others within the department by providing shadowing opportunities and acting as a subject matter expert. ## Related Videos - [Hiring Technical Leaders: Promote from Within or Go External?](https://www.wearedevelopers.com/videos/100167-hiring-technical-leaders-promote-from-within-or-go-external) - [Demystifying application networking in the cloud](https://www.wearedevelopers.com/videos/675-demystifying-application-networking-in-the-cloud) - [AI beyond the code: Master your organisational AI implementation.](https://www.wearedevelopers.com/videos/1248-ai-beyond-the-code-master-your-organisational-ai-implementation) - [Embracing the Hybrid Cloud: Unlocking Success with Ansible](https://www.wearedevelopers.com/videos/932-embracing-the-hybrid-cloud-unlocking-success-with-ansible) - [The future of automotive mobility: Upcoming E/E architectures, V2X and its challenges](https://www.wearedevelopers.com/videos/374-the-future-of-automotive-mobility-upcoming-e-e-architectures-v2x-and-its-challenges) - [Winning the Hybrid Cloud](https://www.wearedevelopers.com/videos/432-winning-the-hybrid-cloud) ## Related Articles - [How to Write a CV and Interview if You Don't Fully Qualify For The Job](https://www.wearedevelopers.com/magazine/183-how-to-write-a-cv-and-interview-if-you-don-t-fully-qualify-for-the-job) - [How to Ensure a Reasonable Salary Before an Interview](https://www.wearedevelopers.com/magazine/322-how-to-ensure-a-reasonable-salary-before-an-interview) - [Data Analyst Salary in the UK](https://www.wearedevelopers.com/magazine/278-data-analyst-salary-in-the-uk) - [UK Business Culture and Etiquette](https://www.wearedevelopers.com/magazine/326-uk-business-culture-and-etiquette) - [The Best Job Search Websites of 2025](https://www.wearedevelopers.com/magazine/368-the-best-job-search-websites-of-2025) - [Should senior developers refuse interview coding challenges?](https://www.wearedevelopers.com/magazine/29-should-senior-developers-refuse-interview-coding-challenges)