Talent.com
Lead Director, Provider Portal Strategy & Operations

Lead Director, Provider Portal Strategy & Operations

KY StaffingNashville, TN, US
5 hours ago
Job type
  • Full-time
Job description

Lead Director, Provider Portal Strategy & Operations

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Lead Director, Provider Portal Strategy & Operations is responsible for the strategic leadership and operational oversight of Aetna's three primary provider portal solutions : Availity Commercial / Medicare Portal, Availity Medicaid Portal, and DentalXchange Dental Portal. This role partners with our DDAT teams to develop the portal strategy and roadmap. Encompasses ownership for performance, vendor relationships, compliance, and team leadership, ensuring the delivery of exceptional provider experiences and operational excellence.

Key Responsibilities

Strategic Leadership :

  • Develop and execute comprehensive portal strategies and roadmaps aligned with prioritized provider experience initiatives and workflow requirements.
  • Collaborate with senior management to define strategic objectives and investment priorities for portal enhancements.

Operational Excellence :

  • Oversee portal performance, including file / data processing, system uptime, outage management, defect resolution, and incident response coordination.
  • Lead cross-functional teams to deliver projects and programs from initiation through completion, ensuring timely delivery within budget and scope.
  • Vendor & Contract Management :

  • Manage portal vendor relationships, including contract renewals, administration, invoicing (over $16M), payment processes, and regular business reviews in partnership with procurement and finance.
  • Coordinate monthly and quarterly health checks and business reviews with vendors.
  • Compliance & Risk Management :

  • Ensure ongoing compliance through annual security risk assessments, user entitlement validation, recertification, business continuity planning, and process documentation.
  • Coordinate responses to compliance incidents, including potential PHI breaches and audits.
  • Project & Program Management :

  • Identify project stakeholders, establish effective communication channels, and manage expectations.
  • Monitor expenditures and ensure adherence to financial constraints throughout the project lifecycle.
  • Prepare and present progress reports to stakeholders and senior management.
  • Develop and implement mitigation strategies to minimize risks and ensure project success.
  • Identify opportunities for process improvement and implement best practices, lessons learned, and industry standards.
  • Team Leadership :

  • Provide leadership and guidance to project and program teams, assigning responsibilities, setting performance expectations, and motivating team members to achieve objectives.
  • Required Qualifications

    10+ years of healthcare experience, preferably working with network and provider related operations and strategy. 5+ years leading and developing high functioning teams. Adept at execution and delivery (planning, delivering, and supporting) skills. Adept at business intelligence. Adept at collaboration and teamwork. Mastery of problem solving and decision making skills. Mastery of growth mindset (agility and developing yourself and others) skills.

    Preferred Qualifications

    Experience with digital portal and / or self-service capabilities.

    Education

    Bachelor's degree preferred / specialized training / relevant professional qualification.

    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.

    Great Benefits for Great People

    We take pride in our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

  • 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 that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
  • We anticipate the application window for this opening will close on : 12 / 31 / 2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

    Create a job alert for this search

    Director Strategy • Nashville, TN, US

    Related jobs
    • Promoted
    Lead Director, Provider Portal Strategy & Operations

    Lead Director, Provider Portal Strategy & Operations

    Tennessee StaffingNashville, TN, US
    Full-time
    Lead Director, Provider Portal Strategy & Operations.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate abo...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Associate Director of Regional Provider Markets - Remote Within Market

    Associate Director of Regional Provider Markets - Remote Within Market

    KY StaffingNashville, TN, US
    Remote
    Full-time
    Associate Director Of Regional Provider Markets.Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team ...Show moreLast updated: 5 hours ago
    • Promoted
    Associate Director of Regional Provider Markets - Remote Within Market

    Associate Director of Regional Provider Markets - Remote Within Market

    Nashville StaffingNashville, TN, US
    Remote
    Full-time
    Associate Director Of Regional Provider Markets.Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team ...Show moreLast updated: 1 day ago
    • Promoted
    Licensed Therapist - Ashland City, TN

    Licensed Therapist - Ashland City, TN

    LifeStance HealthAshland City, TN, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 1 day ago
    • Promoted
    Director, Partnership Operations

    Director, Partnership Operations

    Thyme CareNashville, TN, US
    Full-time
    Imagine building a better healthcare journey for patients with cancer, where individuals and their loved ones feel seen, supported, and heard by their care team – both in and out of the clini...Show moreLast updated: 5 days ago
    • Promoted
    Director, Strategic Programs | Remote, USA

    Director, Strategic Programs | Remote, USA

    Nashville StaffingNashville, TN, US
    Remote
    Full-time
    This position can be hired remotely anywhere within the continental U.The Director, Strategic Programs will be responsible for overseeing the successful planning, execution, and maturation of Optiv...Show moreLast updated: 1 day ago
    • Promoted
    Transportation Director

    Transportation Director

    SyscoColumbia, TN, US
    Full-time
    This is an Operations position responsible for directing the activities associated with Delivery.Responsibilities include but are not limited to, strategic overview and implementation of projects, ...Show moreLast updated: 14 days ago
    • Promoted
    Licensed Marriage and Family Therapist (LMFT) - Joelton, TN

    Licensed Marriage and Family Therapist (LMFT) - Joelton, TN

    LifeStance HealthJoelton, TN, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 1 day ago
    • Promoted
    • New!
    Access Analytics, Ambulatory Operations Consultant, Director

    Access Analytics, Ambulatory Operations Consultant, Director

    KY StaffingNashville, TN, US
    Full-time
    Operations Consulting Director.At PwC, our people in operations consulting specialize in providing consulting services on optimizing operational efficiency and effectiveness.These individuals analy...Show moreLast updated: 17 hours ago
    • Promoted
    DCS CASE MANAGER 1 • - EG - 04012025- 66745

    DCS CASE MANAGER 1 • - EG - 04012025- 66745

    State of TennesseeAshland City, TN, United States
    Full-time +1
    State of Tennessee Job Information.LOCATION OF (350) POSITION(S) TO BE FILLED : DEPARTMENT OF CHILDREN'S SERVICES, CHILD AND FAMILY MANAGEMENT DIVISION, STATEWIDE. The DCS Case Manager 1 • position ha...Show moreLast updated: 30+ days ago
    • Promoted
    Licensed Professional Counselor (LPC-MHSP) - Ashland City, TN

    Licensed Professional Counselor (LPC-MHSP) - Ashland City, TN

    LifeStance HealthAshland City, TN, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 1 day ago
    • Promoted
    Licensed Therapist - Joelton, TN

    Licensed Therapist - Joelton, TN

    LifeStance HealthJoelton, TN, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 1 day ago
    • Promoted
    Licensed Professional Counselor (LPC-MHSP) - Joelton, TN

    Licensed Professional Counselor (LPC-MHSP) - Joelton, TN

    LifeStance HealthJoelton, TN, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 1 day ago
    • Promoted
    Director, Growth Operations

    Director, Growth Operations

    IVX HealthBrentwood, TN, US
    Full-time
    IVX Health is growing fast, and we're seeking a.This is a high-impact leadership role that blends sales operations, analytics, and strategy to drive provider engagement, optimize sales performa...Show moreLast updated: 9 days ago
    • Promoted
    Strategic Partnerships - Territory Manager

    Strategic Partnerships - Territory Manager

    ZINGAS Blinds Shutters ShadesLebanon, TN, US
    Full-time
    We are seeking a Strategic Partnerships - Territory manager, a dynamic, results-driven professional to join our team.This is an exceptional opportunity for a motivated self-starter with a proven tr...Show moreLast updated: 3 days ago
    • Promoted
    • New!
    Senior Director, Strategy & Analysis, Contract Operations

    Senior Director, Strategy & Analysis, Contract Operations

    KY StaffingNashville, TN, US
    Full-time
    Senior Director, Strategy & Analysis; Contract Operations.The Senior Director, Strategy & Analysis; Contract Operations works cross-functionally to develop and execute pricing strategies for pipeli...Show moreLast updated: 17 hours ago
    • Promoted
    Technical Integration Director - Remote

    Technical Integration Director - Remote

    Tennessee StaffingBrentwood, TN, US
    Remote
    Full-time
    Technical Integration Director.Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly imp...Show moreLast updated: 1 day ago
    • Promoted
    Licensed Marriage and Family Therapist (LMFT) - Ashland City, TN

    Licensed Marriage and Family Therapist (LMFT) - Ashland City, TN

    LifeStance HealthAshland City, TN, US
    Full-time
    At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives...Show moreLast updated: 1 day ago