Payer Relations Account Executive

CVS Health; Rhode Island; Hybrid; USD 83,000 - 183,000; Full time

Job summary

CVS Health is seeking a Payer Relations Account Executive to drive new business growth within payer networks, including PBMs, health plans, and Medicaid programs. You will build strategic partnerships, develop compelling business cases, and collaborate with internal teams to expand the CVS Pharmacy network.

This role offers exposure to contracting strategies, data-driven decision making, and visibility with senior leaders as you advance opportunities and manage contracts through their lifecycle.

Qualifications

• 7+ years in sales, business development, account management, healthcare contracting, or related field.
• Proven track record of sourcing, negotiating, and closing new business agreements.
• Experience developing data-driven business cases and presenting to stakeholders.
• Demonstrated ability to build relationships and influence senior external partners.
• Strong business judgment and ability to work independently in complex discussions.

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.

Skills

Sales

Business development

Account management

Healthcare contracting

Relationship building

Negotiation

Strategic thinking

Education

Bachelor's degree

Master's degree

Job description

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 - $182,549.00

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: 10/09/2026

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