Senior Manager, Custom Formulary Consultants

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.

Position Summary

The Senior Manager, Custom Formulary Consultants (CFC) role on the CFC team is a highly visible role responsible for driving strategies to minimize client drug spend. You will be expected to analyze, research, write and edit custom presentations that provide clients with strategic insights around their drug trend. You will work with multiple customer market segments (i.e., Commercial, Managed Medicaid, Med D, Exchange formularies). This role is not solely client facing. There will be heavy emphasis on analytics and other business functions related to overall client financial performance.

The CFC team, which is a key market differentiator that enables us to win business while insuring we meet our client rebate contract guarantees, services our custom formulary clients. CFC consultants leverage financial and clinical acumen to assist clients with custom formulary decisions. The individuals on this team thoroughly understand rebate guarantees, pharmaceutical manufacturer rebate agreements, rebate invoicing, rebate reporting, analyze rebate and drug utilization reports to understand trends, and provide clients with recommendations on formulary and utilization management strategies.

You will establish relationships both internally and externally, and articulate potential management strategies with a deep understanding of the rebate contracts that support them. You will assist CVS Health and work directly with clients to meet financial management goals, including client rebate guarantees. This is an outstanding opportunity with exposure to high-profile clients and senior executives; and a chance to create strong partnerships. Among your specific responsibilities are :

Assisting with strategic initiatives, including working in a cross functional team environment on multiple projects at a time and handling needs from the trade relations organization.

Understanding of trade rebate contracts and the opportunities created for clients based on their own unique characteristics.

Modeling and scenario analysis for all Trade Relations therapeutic areas; understanding and anticipating benefit design evolution and potential impact on financials.

Working within the Trade Relations department to educate external clients persuasively and effectively about potential issues and opportunities.

Directing the creation and execution of optimal client presentation strategies and processes for target markets (i.e., Commercial, Medicare, etc.).

Executing quantitative and qualitative research to develop and test value proposition scenarios and messages.

To be a candidate for this role you will possess the following :

Strong presentation and public speaking skills.

Effective communicator; verbal and written.

Required Qualifications

8+ years of professional work experience within the PBM or Managed Care arenas.

Experience establishing relationships with key internal stakeholders to navigate and help execute strategies.

Experience working with cross-functional teams and / or projects.

Experience in managing multiple competing priorities.

Able to travel up to 10% of the time.

Preferred Qualifications

5-8 years of experience with pharmacy benefit management, health plans, rebates, drug spend and / or formulary strategies.

Reporting and analytics experience.

Financial acumen.

Pharmacist License.

Consultant experience.

Education

Bachelor's Degree required.

MBA preferred.

Pay Range

The typical pay range for this role is :

$75,400.00 - $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 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 :

Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan

No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

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

We anticipate the application window for this opening will close on : 11 / 01 / 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.

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