Lead Director Network Activation

We’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. Lead Director, Network Activation Position Summary The Lead Director, Network Activation is an executive leadership role responsible for advancing the organization's vision of a best-in-class operational ecosystem supporting provider enrollment, credentialing, and network activation initiatives across government and commercial payer programs. This position serves as the strategic leader for payer enrollment operations, ensuring seamless integration of federal, state, and commercial program requirements while supporting organizational growth and revenue integrity. As a leader of leaders, the Lead Director oversees a team of Manager-level leaders and is accountable for fostering a high-performance culture focused on employee engagement, professional development, operational excellence, and continuous improvement. The role plays a critical part in protecting revenue by accelerating provider enrollment timelines, reducing enrollment-related claim denials, optimizing group enrollment strategies, and developing scalable processes that support national expansion. Reports To Vice President, Network Activation (or designated executive leader) Direct Reports Manager-level leaders within Network Activation, Enrollment Operations, and related functional areas. Essential Duties and Responsibilities Leadership and Organizational Development Provide strategic leadership and direction to a team of Manager-level leaders responsible for provider enrollment and network activation functions. Develop and maintain a high-performing leadership team through coaching, mentoring, succession planning, and professional development initiatives. Foster a culture of accountability, collaboration, engagement, and continuous learning across the department. Establish clear performance expectations, monitor results, and drive achievement of departmental and organizational goals. Lead efforts to build and scale a best-in-class Network Activation function that supports organizational growth and operational excellence. Government and Commercial Payer Strategy Direct enterprise-wide enrollment strategies for Medicare, Medicaid, and commercial payer programs to ensure timely provider participation and regulatory compliance. Oversee enrollment operations across multiple markets, ensuring adherence to federal, state, and payer-specific requirements. Monitor changes in regulatory and enrollment requirements and implement proactive strategies to address evolving policies, revalidation requirements, and market-specific mandates. Collaborate with internal and external stakeholders to support successful payer onboarding, delegation activities, and network expansion initiatives. Participate in and, when appropriate, lead client pre-delegation discussions and review Statements of Work (SOWs) to ensure operational readiness and alignment. Advocate for strategic state licensing and enrollment initiatives that support organizational growth objectives. Partner with Compliance and Quality teams to maintain alignment with NCQA standards and accreditation requirements. Revenue Cycle and Financial Performance Serve as the executive leader responsible for mitigating enrollment-related revenue risks and ensuring provider reimbursement readiness. Partner closely with Revenue Cycle Management, Billing, Finance, and Operations teams to identify and eliminate enrollment-related barriers impacting claims processing and reimbursement. Analyze trends related to enrollment delays, claim denials, and revenue leakage, implementing corrective actions