CVS Health

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Sr. Director, Managed Care-Payer Relations

at CVS Health

Posted: 8/1/2020
Job Reference #: 1323519BR
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Job Description

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 nation’s premier health innovation company. Through our health services, insurance plans and community pharmacists, we’re pioneering a bold new approach to total health. As a CVS Health colleague, you’ll 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 world’s 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
* 401k
* PTO and family leave
* Employee discounts

Education
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.

Application Instructions

Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!