Executive Director, Medical Pharmacy Network Strategy

Hispanic Alliance for Career Enhancement; Nevada (IA); Hybrid; USD 100,000 - 232,000; Full time

Benefits offered by this job

Comprehensive benefits package

Job summary

CVS Health is seeking a senior Network Contracting and Strategy professional to drive medical drug reimbursement initiatives across hospital and provider networks. You will enable market teams with analytics, contracting guidance, and best practices to improve cost, quality, and access outcomes.

The role involves designing initiatives, aligning with cross‑functional teams, and advising senior leadership on performance and financial targets.

Qualifications

• Demonstrated ability to translate complex contracting, financial, and operational information into concise executive narratives.
• Proven ability to evaluate contract terms and reimbursement structures and advocate for risk-mitigated solutions.
• Knowledge of medical pharmacy and outpatient reimbursement concepts and payer/provider considerations.

Responsibilities

• Develop Market Network contract relationships with health systems, hospitals and regional provider groups.
• Align network strategy with National Ancillary Network & Value‑Based Care teams.
• Design retail network initiatives by analyzing market trends and opportunities to improve network performance.
• Coordinate with operations, marketing and finance to ensure alignment with business objectives.
• Monitor provider network performance using KPIs and identify improvement areas.
• Communicate with healthcare organizations and insurers to establish partnerships.
• Ensure compliance with health regulations and standards in retail network strategies.
• Advise senior management on provider network performance, patient outcomes, and financial targets.
• Lead execution of key strategies to meet business plan requirements and team objectives.

Skills

Contracting strategy

Executive communication

Financial analysis

Provider network knowledge

Education

Bachelor's degree preferred or equivalent

Job description

CVS Health is seeking a senior Network Contracting and Strategy professional to drive medical drug reimbursement initiatives across hospital and provider networks. You will enable market teams with analytics, contracting guidance, and best practices to improve cost, quality, and access outcomes.

The role involves designing initiatives, aligning with cross‑functional teams, and advising senior leadership on performance and financial targets.