Payer Relations Account Executive

CVS Health Corporation

Northern (KY)

Hybrid

USD 83,000 - 183,000

Full time

14 days+
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Benefits offered by this job

Medical, dental, and vision coverage
Paid time off
Retirement savings options
Wellness programs

Job summary

CVS Health Corporation seeks a Payer Relations Account Executive to drive new business growth within payer networks and strengthen CVS Pharmacy’s position with PBMs, health plans, and Medicaid programs.

You will build compelling business cases, manage a cross-functional pipeline, and support contract negotiations, with travel up to 20% and a focus on delivering measurable value to customers and the business, while collaborating with sales, analytics, contracting and strategy teams.

Qualifications

  • 7+ years in sales, business development, account management or healthcare contracting.
  • Proven ability to source, negotiate and close new business agreements.
  • Experience building data-driven business cases for stakeholders.
  • Knowledge of payer relationships and healthcare networks preferred.

Responsibilities

  • Identify and advance new business opportunities with payers.
  • Build and maintain a pipeline with forecasting and progress tracking.
  • Develop and present business cases aligning service and network design.
  • Partner with internal teams to evaluate markets and support negotiations.
  • Facilitate transitions to account management post-close and support reviews.

Skills

Sales excellence
Account management
Negotiation
Data-driven problem solving
Healthcare contracting

Education

Bachelor's degree
Master's degree

Job description

## Payer Relations Account ExecutiveApply: Remote: RI - Work from home: Full time: Posted Today: End Date: October 9, 2026 (23 days left to apply): R1036445We’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.**Position Summary**The Payer Relations Account Executive is responsible for driving new business growth and expanding CVS Pharmacy’s position within payer networks. This role develops and advances relationships with pharmacy benefit managers, health plans, discount program providers, and state Medicaid organizations to secure new agreements and strengthen strategic partnerships. Working closely with internal partners, the Account Executive builds compelling business cases, develops growth opportunities, and supports business expansion initiatives that deliver measurable value.**What You'll Gain*** Opportunity to directly influence business growth through new payer partnerships and network expansion.* Exposure to complex healthcare market dynamics, contracting strategies, and commercial decision-making.* Visibility with senior healthcare executives and cross-functional leaders across sales, analytics, contracting, and strategy teams.**Roles & Responsibilities*** Identify, qualify, and advance new business opportunities with pharmacy benefit managers, health plans, discount providers, and state Medicaid programs.* Build and maintain a pipeline of opportunities, including forecasting potential business impact and tracking progress toward goals.* Develop and present business cases and proposals that align service, quality, network design, and volume commitments with customer needs.* Partner with internal stakeholders to evaluate market opportunities, assess competitive positioning, and support contract negotiations.* Facilitate smooth transitions of newly executed agreements to ongoing account management teams and support performance reviews during the initial contract lifecycle.**Travel:** Up to 20% travel required.**Required Qualifications*** 7+ years of experience in sales, business development, account management, healthcare contracting, or a related field.* Proven track record of sourcing, negotiating, and closing new business agreements with measurable results.* Experience developing data-driven business cases and presenting recommendations to stakeholders.* Demonstrated ability to build relationships and influence decision-making with senior external partners.* Strong business judgment with the ability to work independently and navigate complex commercial discussions.**Preferred Qualifications*** Experience in pharmacy benefit management, retail pharmacy, managed care, or healthcare services.* Knowledge of pharmacy network structures, payer relationships, and reimbursement models.* Experience working with pharmacy benefit managers, regional health plans, or Medicaid organizations.* Experience supporting value-based, performance-based, or outcomes-driven business arrangements.* Interest in career progression within payer relations, strategic partnerships, or healthcare business development.**Education*** Bachelor's degree required, or equivalent combination of education and relevant work experience.* Master's degree (MBA, MHA, or related field) preferred.**Pay Range**The typical pay range for this role is:$82,940.00 - $182,549.00This 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: 10/09/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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