: Sr. Director, Managed Care-Payer Relations
1 CVS Drive
Woonsocket, RI 02895

Employee Testimonials

CVS Health testimonial
CVS Health testimonial


Job Description
About the Role:
Does being on the inside of a transformational organization sound exciting to you? Well, read on! Combining CVS Health and Aetna was a transformative moment for our company and our industry, establishing CVS Health as the nations premier health innovation company. Through our health services, insurance plans and community pharmacists, were pioneering a bold new approach to total health. As a CVS Health colleague, youll be at the center of it all!
As the Payer Relations Senior Director you will lead a team of Regional Directors who each manage a portfolio of payers responsible for over $56B in sales. You will report to the VP of Managed Care. The Senior Director will develop our payer specific strategy and value proposition, aligning targets. You will have direct interaction with Executive Leadership. As a healthcare leader, you will oversee 3-5 direct reports to oversee the management and growth of our payer partners. Your primary focus is to lead and develop your team to promote and align organizational focus and strategy with their assigned payers. Also you will work across the organization to coordinate activity, drive innovation and achieve results.
Primary Responsibilities include:
Lead the direct activities of the payer relations team by providing strategy and support
Account for contract and financial review of the teams associated accounts
Maintain Sr. Level relationships
Clearly communicate the payers opportunity and the risks associated
Lead the team with strategy and planning, and other tools to meet client needs
Manage preformas and associated contracts

Required Qualifications
8+ years professional work experience in the Pharmacy Benefit Management or Retail Pharmacy Industry
5+ years drafting and negotiating contracts and associated financial frameworks.
Will travel up to 40% of the time

Preferred Qualifications
10+ years cumulative work experience in the PBM or Retail Pharmacy industry
Prior Leadership experience
Knowledge of the Healthcare and Pharmacy Landscape
Experience with Health Plan Payers and associated lines of business-Medicaid, Medicare, Commercial, and Exchanges
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.
Team Leadership: developed relationship-building skills to further working relations across the Retail Enterprise.
Influencing others: Can structure useful guidance around complex and far reaching strategy decisions to influence and guide the decisions made by others.
Comfortable presenting to Sr. Executives, Experts, Pharmacy, Medical Affairs etc. Communicate in a way that quickly builds trust and respect.
Our Perks
Comprehensive health, dental and vision insurance
PTO and family leave
Employee discounts

Bachelors Degree required

Business Overview
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.


Employee Testimonials

CVS Health testimonial
David L. Casey
Vice President, Workforce Strategies and Chief Diversity Officer

The military has an ethos that is grounded in purpose-driven service that’s bigger than the induvial. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve -- just in a civvies.

CVS Health testimonial
Susan Medina
Head of Executive Search & International Talent Acquisition

As a member of the CVS Health team I have the chance of a lifetime to work for a company with a purpose in which I truly believe. Who wouldn’t want to go to work every single day knowing that every conversation, every meeting, every email, every day will have an impact on someone, especially when that someone is likely a friend, a family member, a grandma, or even a stranger?