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Job Title :
Payer Relations Director
Job ID :
Location :
RI - Woonsocket
Street Address :
1 CVS Drive
Category :
Description :
Job Description
The Director, Payer Relations has the oversight and management of an assigned book of business including Pharmacy Benefit Managers, Blue Cross Plans, National Insurance Carriers, Regional Health Plans and State Medicaid Plans. This position 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 role and responsibilities of the Payer Relations Director will include strategic account relations, supporting limited to limited/preferred networks, Preferred Part Dnetworks, clinical initiatives, and Specialty Connect. The Payer Relations Director will interface with executive officers across the company, including daily /weekly contact with the 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
· Minimum of 10 years total professional experience, ideally positions within either Pharmacy Benefit Management, Retail Pharmacy, Health Plan or related healthcare experience.
· Experience in contract negotiations and associated financial frameworks.
· Experience in cultivating and maintaining strategic business relationships.

Preferred Qualifications
· Powerful Communication: The ability to communicate effectively and succinctly with a diverse range of constituents, both verbally and on paper, and with all levels of an organization. Communicate in an open and honest way that quickly builds trust and respect.
· Team Leadership: Highly developed relationship-building skills to foster effective working relations across the Retail Enterprise.
· Influencing others: Must possess the ability to structure useful guidance around complex and far reaching strategy decisions to influence and guide the decisions made by others.
· Advanced degree

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

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website:

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Our culture

CVS Health core values of Innovation, Collaboration, Caring, Integrity, and Accountability not only support our purpose of helping people on their path to better health for our customers and patients, but they also apply to how we support our more than 250,000 colleagues. You will find our culture at CVS Health, and our leaders encourage personal and professional growth.

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