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Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.
Position Summary
The Lead Director, Payer Relations has the oversight and management of an assigned book of business of payers, including but not limited to Pharmacy Benefit Managers, Blue Cross Plans, National Insurance Carriers, Regional Health Plans, Third Party Discount providers and State Medicaid Plans.
This position’s primary objective is to develop and maintain Payer Relationships including contract negotiations, contract management and profitability targets specifically related to pharmacy spend and market share. The additional roles and responsibilities of the Payer Relations Director will include strategic account relations, increasing the profitable growth of limited and preferred networks, Preferred Part D networks, clinical initiatives, and Specialty serves.
The Lead Director, Payer Relations will interface with executive officers across the company, including daily/weekly contact with the Executive Director of Payer Relations, Vice President of Payer Relations, Managers, Directors and Vice Presidents in Legal, Retail Operations, Marketing, Real Estate, Specialty, and Merchandising.
The successful candidate will possess the following skills:
- Structured & Logical Thinking: The ability to identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analysis and/or measure success.
- Analytical Rigor: Proven capability conducting and managing quantitative portfolio growth analysis.
Required Qualifications
- 5+ years of professional work experience within Pharmacy Benefit Management or Retail Pharmacy Industry
- 5+ years of experience drafting and negotiating contracts and associated financial frameworks
- Ability to travel up-to-20% of the time, based on the needs of the business
Preferred Qualifications
- Passion for Health Care: A history of work in the health care industry and an ongoing desire to make one of the world’s strongest health care companies even stronger
- Powerful Communication: The ability to communicate effectively and succinctly with a diverse range of constituents, both verbally and on paper, and with all levels of an organization. Communicate in an open and honest way that quickly builds trust and respect
- Team Leadership: Highly developed relationship-building skills to foster effective working relations across the Retail Enterprise
- Influencing others: Must possess the ability to structure useful guidance around complex and far-reaching strategy decisions to influence and guide the decisions made by others
Education
Bachelor’s degree or equivalent relevant experienc
Pay Range
The typical pay range for this role is:
$100,000.00 - $231,500.00
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.
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies.
For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits
