Payer Relations Account Executive

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

As a Payer Relations Account Executive, you support a Payer Relations Director (PRD) in managing one of the largest and most complex PBM relationships that spans multiple lines of business and has direct ties to a significant health plan. In this role, you will help develop the payer specific strategy, value proposition, goals, and targets. You will be involved in aspects of the PBM relationship including, but not limited to, negotiating network contract/term, script growth opportunities, margin retention, clinical program partnerships, specialty network contracting, and other claims-processing operational efficiencies. This individual may also have responsibility and be the primary liaison for a book of smaller PBMs with oversight from a PRD.

This position's primary objective is to support the PRD in developing and maintaining profitable payer relationships and is an excellent opportunity to interface with Executive Leadership both internally and externally. You are considered one of the main points of contact for the PBM, acting as the liaison between PBMs and cross-functional internal teams and responsible for ensuring timely/successful delivery of PBM requests. Excellent communication skills are required to ensure CVS Pharmacy understands a PBM's needs and is able to build long-lasting, mutually beneficial relationships with our key business stakeholders.

The successful candidate will possess the following skills:

• Demonstrated ability to effectively lead internal and client calls.
• Excellent verbal and written communication skills
• Ability to pull data utilizing web-based reporting platforms in order to track and identify scripts and margin trends.
• Consistent delivery of client interactions that develop trust and show value to position CVS Pharmacy for long term growth with PBMs
• A high level of customer service through accurate, responsive, reliable, and professional interactions
• A growth mindset open to developing financial acumen and analytical rigor around pharmacy economics

The Payer Relations Account Executive responsibilities will include managing the resolution status of routine to complex requests related to our PBM relationships; including but not limited to:
- Complex issue tracking - Engaging internal departments and PBM resources to work on outstanding issues from start to resolution.
- Driving Practical & Creative Solutions – Critically thinking about complex situations to find optimal outcome.
- Engaging Appropriate Resources – Discuss information at varying degrees of complexity, at varying stages of progression, and engage internal or PBM resources best appropriate to drive issue resolution.
- Working within Deadlines - Drive resolution within a timely manner

This position can be located anywhere in the U.S. with the ability to work remotely or in a CVS Corporate Hub. This role will require travel to different locations throughout the country. The amount of travel will vary depending on our client's need but could be up to 20% of the time.

Required Qualifications

• At least 5 years of cumulative Pharmacy, PBM, Account Management, or similar healthcare experience in a client-facing role
• Travel may be required but is not limited to flights, overnight stays, local travel, travel on short notice and other travel deemed necessary by the Company

Preferred Qualifications

• 5+ years of experience of payer relations experience managing a book of business in a Pharmacy, PBM, Health Plan, or medical specialty and infusion industry

Education

Bachelors degree, or equivalent experience

Pay Range

The typical pay range for this role is:

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.

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Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.