Senior Manager, Payer Negotiation Strategy and Market Intelligence

CVSHealth

Massachusetts

On-site

USD 83,000 - 183,000

Full time

4 days ago
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Job summary

CVS Health is seeking a Senior Manager, Payer Negotiation Strategy and Market Intelligence to lead payer playbooks, preparation tooling, and cross-functional collaboration aimed at more consistent negotiations.

The role translates market insights into actionable strategy, monitors shifts in PBM/health plan tactics, and mentors teams toward greater influence and ownership within Payer Relations.

Qualifications

  • 5+ years in contract negotiation, pharmacy benefit management, or related field.
  • 5+ years in strategy, market intelligence, or consulting.
  • 3+ years leading or mentoring teams in a complex environment.
  • Ability to translate market insights into actionable tools or guidance.
  • Experience conducting post-mortems with Director-level participants.
  • Ability to influence cross-functional stakeholders without direct authority.
  • Strong written and verbal communication skills.
  • Willingness to travel up to 15%.

Responsibilities

  • Build and maintain payer-specific negotiation playbooks.
  • Establish pre-positioning frameworks ahead of negotiations.
  • Lead structured deal reviews and debriefs.
  • Drive adoption of negotiation tooling across payer relations.
  • Translate market intelligence into repeatable strategy.
  • Monitor PBM and health plan strategies and update playbooks.
  • Lead post-mortem reviews to refine future negotiations.
  • Collaborate with Directors and above in a matrix organization.

Skills

Contract negotiation
Strategy
Market intelligence
Leadership
Stakeholder management
Communication
Travel

Education

Bachelor's degree
Advanced degree

Job description

We’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 Senior Manager, Payer Negotiation Strategy and Market Intelligence, builds and maintains the payer-specific playbook set covering CVS Pharmacy’s largest payer relationships, establishes the pre-positioning frameworks applied ahead of material negotiations, facilitates structured deal reviews and debriefs, and drives adoption of approved negotiation preparation tooling across the function. It converts each negotiation into transferable institutional knowledge.

This person will strengthen negotiation effectiveness by translating market intelligence, stakeholder insight, and negotiation learnings into clear, repeatable strategy. This role will monitor shifts in PBM and health plan strategy, develop a deep understanding of negotiation counterpart objectives, and convert those insights into practical playbooks and tools that help partner teams negotiate with greater consistency, precision, and confidence. This role will also lead post-mortem review of negotiation outcomes, using lessons learned to continuously refine strategy, strengthen playbooks, and improve future execution.

The role is an individual contributor with regular working exposure to Directors, Lead Directors and above, and is structured as a development seat toward deal ownership within Payer Relations.

Success is measured by whether negotiation quality becomes repeatable, documented, and materially less dependent on any single individual.

Required Qualifications
  • 5+ years of professional experience in contract negotiation, pharmacy benefit management, managed care, or comparable commercial discipline
  • 5+ years of experience in strategy, market intelligence, consulting, or a related field
  • 3+ years of experience leading, mentoring, developing, or influencing team members and stakeholders across a complex, matrixed environment
  • Experience translating complex market, stakeholder, and business insights into concise, actionable tools, frameworks, or strategic guidance
  • Experience conducting retrospective, post-mortem, or after-action analyses with Director-level and above participants to assess performance
  • Demonstrated ability to identify patterns, extract lessons learned, and incorporate them into actionable insights
  • Demonstrated experience driving sustained adoption to new processes and frameworks
  • Demonstrated ability to influence cross-functional stakeholders and shape decisions without direct authority
  • Strong written and verbal communication skills, including the ability to distill complexity into clear guidance for both leadership and partner teams
  • Ability to influence without direct authority across a senior audience
  • Regular and reliable attendance is an essential function of this role
  • Travel up to 15% of the time
  • Any additional tasks as directed by supervisor or manager
Preferred Qualifications
  • Formal negotiation training or certification
  • Experience within a center of excellence, enablement or capability-building function
  • Experience creating materials for both executive audiences and operational partner teams
  • Experience working in ambiguous, fast-changing environments where continuity and knowledge transfer are critical
  • Facilitation, coaching or instructional design experience
  • Interest in progressing toward commercial deal ownership within Payer Relations
Education

Bachelor's degree required. Advanced degree 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: 09/30/2026

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

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