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Position Summary

We are seeking a transformational leader to drive a multi-year initiative to consolidate provider data into a trusted enterprise source of truth. The Lead Director, Network Platform Solutions will own the strategy and execution of QNXT Medicaid provider data migration, platform standardization, and operational transition while ensuring stability of the existing provider data platform.  The Lead Director will oversee the work required for migration, including profiling, mapping, transformation, remediation, validation, reconciliation, and cutover. This individual will partner with the enterprise Provider Data Governance team to apply established standards and resolve migration-specific data decisions. A strong candidate will have demonstrated success with large scale system migrations, strong data transformation expertise, cross-functional leadership experience, executive influence, and change management experience.

 

Key Responsibilities

Transformation and Migration Leadership

• Establish migration controls and success measures while managing risks, dependencies, critical decisions, and executive reporting.

Data Readiness and Governance Partnership

• Identify and resolve duplicates, conflicting values, incomplete records, and other data conditions that could affect migration or downstream operations.
• Establish readiness criteria and measures for conversion accuracy, reconciliation, data acceptance, and post-migration performance.
• Lead root-cause analysis and remediation of migration-related data issues based on business, operational, and regulatory impact.
• Partner with the Provider Data Governance team to apply established policies, definitions, ownership models, and quality standards throughout the migration.

 

Operational Leadership

• Oversee day-to-day support of the existing Medicaid provider data tools, ensuring service performance, compliance, stability, and business continuity.
• Balance production support, defect remediation, and essential enhancements with migration priorities.
• Define and execute the operational transition plan as legacy platform capabilities are reduced or retired.
• Establish metrics and reporting that provide visibility into platform performance, operational risks, and transition readiness.

 

Change Management and Executive Engagement

• Drive stakeholder alignment and organizational readiness across impacted business, operational, and technology teams.
• Develop communication, training, adoption, and transition strategies that support successful implementation and sustained business value.
• Build confidence in future-state capabilities through transparency into migration progress, data readiness, conversion quality, and issue resolution.
• Advise senior leaders on progress, risks, tradeoffs, and strategic decisions requiring executive alignment.

Team Leadership

• Lead and develop a high-performing team responsible for transformation delivery, and operational excellence.
• Foster a culture of accountability, collaboration, continuous improvement, and data-driven decision making.

Required Qualifications

• 10+ years of experience leading large-scale enterprise transformation, data modernization, platform migration, or operational transformation initiatives.
• 5 years of experience managing and overseeing team performance, development, and accountability.
• Proven success leading complex system migrations and consolidations involving significant organizational change.
• Experience with complex data profiling, mapping, remediation, validation, and reconciliation, supported by a strong understanding of enterprise data governance standards.
• Demonstrated ability to influence executive stakeholders and drive alignment across business and technology organizations.
• Strong understanding of enterprise data management, data quality, and governance principles.
• Experience developing and executing change management and stakeholder engagement strategies.

 

Preferred Qualifications

• Healthcare experience preferred, particularly within Medicaid, provider operations, network management, credentialing, or provider data domains.
• Experience with QNXT and healthcare platform transformation initiatives
• We support a hybrid work environment. If selected and you live near a suitable work location, you may be expected to comply with the hybrid work policy. Under the policy, all hires for in-scope populations should be placed into a hybrid or office-based location, working onsite three days a week. Aetna Service Operations office/hub locations will be discussed with the selected candidate

 

 

Education

• Bachelor’s degree or equivalent work experience
  
  
  
  

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.

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.

We anticipate the application window for this opening will close on: 10/24/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.