Lead Director - Clinical Vendor Performance Management
4062 Aetna Resources, LLCWe’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.
Primary Purpose
This role is the senior operating leader of Aetna’s clinical vendor and value partner performance management function. The Lead Director is the primary representative of Vendor Performance in governance reviews, cross-functional forums, and senior leadership conversations — expected to walk into a room with senior business, clinical, and finance leaders and credibly defend a performance evaluation, recommendation, or savings narrative under pressure.
This role owns the execution of the team’s major deliverables: vendor scorecards, governance review materials, performance-based negotiation recommendations, and the monthly executive performance narrative. The Lead Director quarterbacks cross-functional preparation across Contracting, Medical Economics, market and clinical leadership, and Care Model, and serves as the day-to-day operating partner for those functions.
Primary Duties
• Performance Framework & Governance Partnership: Build and continuously evolve the end-to-end performance management framework for a defined portfolio of clinical vendors, including KPIs, SLAs, scorecards, performance review cadences, and escalation pathways.
• Vendor Portfolio Performance: Own performance accountability for an assigned portfolio of clinical vendors. Lead joint business reviews, identify performance gaps, drive corrective action plans, and partner with Contracting on remediation, renegotiation, or off-boarding decisions. Surface insights that inform build-vs-buy decisions and align with the enterprise capability roadmap.
• Stakeholder Partnership & Executive Storytelling: Serve as a strategic partner business stakeholders. Translate performance data into executive-ready narratives that drive decisions; deliver monthly performance summaries to Aetna leadership and quarterly readouts to senior executive stakeholders.
• Target Tracking: Own the savings tracking and narrative for clinical vendor cost rationalization initiatives, including progress-to-target reporting, variance analysis, and risk identification.
Qualifications
• Preferred 7+ years of managed care, vendor management, value-based care, healthcare operations, or healthcare strategy experience preferred.
• Demonstrated executive presence and proven ability to present complex evaluations and recommendations directly to senior leadership (VP / SVP / market president level).
• Track record of representing a function or recommendation in cross-functional forums where stakeholders may disagree or push back; comfort defending a position with data while remaining collaborative preferred.
• Experience with clinical vendor or value partner performance management, governance, or oversight preferred.
• Experience partnering with actuarial or analytics teams on ROI methodology, pre/post evaluation, and cohort-matched studies preferred.
• Familiarity with Medicare, Commercial, and Medicaid product lines and the political dynamics across business units preferred.
Education
Bachelor’s degree preferred, or equivalent combination of education and professional experience.
Advanced degree (MBA, MPH, MHA, or related) preferred.
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.
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 people
We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.
Additional details about available benefits are provided during the application process and on Benefits Moments.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.