The Director, Payer Relations has the oversight and management of an assigned book of business including Pharmacy Benefit Managers, Blue Cross Plans, National Insurance Carriers, Regional Health Plans and State Medicaid Plans. This position primary objective is to develop and maintain payer relationships including contract negotiations, contract management and profitability targets specifically related to pharmacy spend and market share. The additional role and responsibilities of the Regional Director will include strategic account relations, supporting limited to limited/preferred networks, Preferred Part D networks, clinical initiatives, and Specialty Connect. The Regional Director will interface with executive officers across the company, including daily / weekly contact with the Director of Payer Relations, Vice President of Payer Relations, Managers, Directors and Vice Presidents in Legal, Retail Operations, Marketing, Real Estate, Specialty and Merchandising.
5+ years of professional work experience within Pharmacy Benefit Management or Retail Pharmacy Industry.
5+ years of experience drafting and negotiating contracts and associated financial frameworks.
Passion for Health Care: A history of work in the health care industry and an ongoing desire to make one of the worlds strongest health care companies even stronger.
Powerful Communication: The ability to communicate effectively and succinctly with a diverse range of constituents, both verbally and on paper, and with all levels of an organization. Communicate in an open and honest way that quickly builds trust and respect.
Team Leadership: Highly developed relationship-building skills to foster effective working relations across the Retail Enterprise.
Influencing others: Must possess the ability to structure useful guidance around complex and far reaching strategy decisions to influence and guide the decisions made by others.
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.
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