Lead Director, Network Cost Management Solutions and Payment Integrity Remote - CVS : Job Details

Leads team of approximately 6 employees and overall scope of 25-30 to develop enterprise-wide solutions (medical cost containment and payment integrity) to address business problems, resulting in lower cost of care for clients and members enabling the organization to be competitive in the marketplace and effectively serve its customers. Responsible for the out of network product portfolio, market analysis, creative and new solutions, pricing and profitability strategies, measures performance and ensures regulatory compliance to achieve business objectives and drive growth in the competitive TPA market. Collaborates across the organization to optimize the achievement of strategic business objectives to include profitable growth and improved organizational effectiveness. - - Candidates may reside anywhere in the US. Requirements. Responsible for out of network (cost management) products, savings, revenue, financial results and commitments. Works closely with sales, account management, an...Director, Solutions, Network, Management, Payment, Business Operations, Technology, Retail