Senior Director, Payer Relations (Remote)

9005 CVS Pharmacy, Inc.; United States; Remote; USD 100,000 - 232,000; Full time

Job summary

CVS Health is seeking a Lead Director, Payer Relations to lead strategic relationships with PBMs, health plans, and payers. You will negotiate contracts, shape commercial strategy, and drive profitability across a portfolio while partnering with Finance, Legal, Operations, Analytics, and Government Affairs.

This role requires 10+ years in payer relations, strong negotiation and executive engagement skills, and the ability to manage risk and growth.

Qualifications

• 10+ years of experience in payer relations, pharmacy benefit management, retail pharmacy, healthcare contracting, or a related healthcare field.
• 5+ years of experience negotiating contracts and managing associated financial terms and performance outcomes.
• Demonstrated experience managing a portfolio, book of business, or commercial relationships with accountability for revenue, profitability, or market share results.
• Experience presenting, negotiating, and influencing executive-level stakeholders.
• Strong analytical and strategic problem-solving skills with the ability to evaluate complex business and financial scenarios.

Responsibilities

• Lead contract negotiations and manage an assigned portfolio of payer relationships, ensuring favorable rates, terms, and business outcomes.
• Develop and execute negotiation strategies that support financial, operational, and market-share objectives.
• Monitor portfolio performance, identify risks and opportunities, and recommend actions to improve profitability and growth.
• Build and maintain executive-level relationships with payer organizations and collaborate with internal partners across Finance, Legal, Operations, Analytics, and Government Affairs.
• Coach and develop team members while contributing to negotiation best practices, talent development, and organizational capability building.

Skills

Payer relations

Contract negotiations

Portfolio management

Executive stakeholder engagement

Analytical thinking

Education

Bachelor's degree

Master's degree

Job description

CVS Health is seeking a Lead Director, Payer Relations to lead strategic relationships with PBMs, health plans, and payers. You will negotiate contracts, shape commercial strategy, and drive profitability across a portfolio while partnering with Finance, Legal, Operations, Analytics, and Government Affairs.

This role requires 10+ years in payer relations, strong negotiation and executive engagement skills, and the ability to manage risk and growth.