Remote Senior Director, Payer Relations & Negotiations

9005 CVS Pharmacy, Inc.

Woonsocket (RI)

Remote

USD 100,000 - 232,000

Full time

3 days ago

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Benefits offered by this job

Bonus program

Equity awards

Health insurance

Paid time off

Job summary

CVS Health is seeking a Lead Director of Payer Relations to lead strategic relationships and contract negotiations with PBMs, health plans, and Medicaid programs. The role drives financial performance, network positioning, and growth through negotiation, relationship management, and strategic contracting.

The ideal candidate has deep payer contracting expertise and executive stakeholder engagement experience.

Qualifications

10+ years of experience in payer relations, pharmacy benefit management, or related healthcare contracting.
Experience negotiating contracts with payers and managing financial terms and performance.
Proven ability to present, negotiate, and influence executive-level stakeholders.

Responsibilities

Lead contract negotiations and manage an assigned portfolio of payer relationships with favorable rates and terms.
Develop and execute negotiation strategies supporting financial, operational, and market-share objectives.
Monitor portfolio performance, identify risks/opportunities, and recommend actions to improve profitability and growth.
Build and maintain executive-level relationships with payer organizations and collaborate with Finance, Legal, Operations, Analytics, and Government Affairs.
Coach and develop team members and contribute to negotiation best practices and organizational capability building.