Lead Director, Payer Relations

Director, Payer Relations

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

The Director, Payer Relations has the oversight and management of an assigned book of business of payers, including but not limited to Pharmacy Benefit Managers, Blue Cross Plans, National Insurance Carriers, Regional Health Plans, Third Party Discount providers and State Medicaid Plans. This role's 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 roles and responsibilities of the Payer Relations Director will include strategic account relations, increasing the profitable growth of limited and preferred networks, Preferred Part D networks, clinical initiatives, and Specialty services. The Payer Relations Director will interface with executive officers across the company, including daily / weekly contact with the Executive Director of Payer Relations, Vice President of Payer Relations, Managers, Directors and Vice Presidents in Legal, Retail Operations, Marketing, Real Estate, Specialty and Merchandising.

The successful candidate will possess the following skills :

• Structured & Logical Thinking : The ability to identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analysis and / or measure success.
• Analytical Rigor : Proven capability conducting and managing quantitative portfolio growth analysis.

Required Qualifications :

Preferred Qualifications :

Education : Bachelors' Degree or equivalent years of related professional work experience in combination with years education in lieu of a degree.

Pay Range The typical pay range for this role is : $100,000.00 - $231,540.00 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 our comprehensive and competitive mix of pay and benefits investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include :

For more information, visit https : / / jobs.cvshealth.com / us / en / benefits

We anticipate the application window for this opening will close on : 10 / 25 / 2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws. We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex / gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.