Senior Manager, Payer Negotiation Strategy and Market Intelligence

CVS Health; Woonsocket (RI); On-site; USD 83,000 - 183,000; Full time

Job summary

CVS Health is seeking a Senior Manager in Payer Negotiation Strategy and Market Intelligence to build payer-specific playbooks and lead negotiations preparation tooling across the function. This role translates market insights into repeatable strategy and practical tools for partner teams.

The successful candidate will monitor PBM and health plan strategy shifts, develop playbooks, and lead post-mortem reviews to continuously refine approach.

Qualifications

• 5+ years in contract negotiation or managed care.
• 5+ years in strategy, market intelligence or consulting.
• 3+ years leading or mentoring team members across a complex, matrixed environment.
• Experience translating market insights into concise, actionable tools or guidance.
• Experience conducting retrospective analyses with Director-level participants.

Responsibilities

• Build and maintain payer-specific negotiation playbooks.
• Translate market intelligence into practical tools for partner teams.
• Lead post-mortem reviews to refine strategy.
• Collaborate with Directors to drive deal ownership development within Payer Relations.
• Monitor shifts in PBM and health plan strategy and translate into playbooks.

Skills

Payer negotiation

Market intelligence

Strategy development

Leadership

Cross-functional

Communication

Influence

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.