Lead Director, Payer Relations Administration

Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver.
 
Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.

Position Summary

The Lead Director, Payer Relations Administration provides administration oversight and strategy support for payer relations (PR) team. Develops and implements network strategies and reporting aimed at providing information relevant to the contracting process, and PR status updates to key leadership. As a critical member of the Payer Relations team this Lead Director plays a vital role in creating and executing strategies to address payer and industry requirements and needs. An ideal candidate exhibits an intellectual curiosity to understand the dynamics shaping the healthcare industry, the tenacity to address complex business problems, and skills to indirectly influence cross-functional teams.

This role is central to aligning and influencing wide-ranging stakeholders across the enterprise. They work cross functionally with IT, Finance, Analytics, Payer Relations, RxOps, and RxGrowth to develop and execute strategic solutions to achieve enterprise goals. This role is responsible for leading the creation of reporting and measurement solutions to monitor KPIs (financial, operational, etc.) performance of retail pharmacy networks, products, and service initiatives. This role develops and maintains the toolkit that consolidates information used during the contracting process, including CRM (Salesforce), CLM (Ariba), profitability (Foundry), and business intelligence (dashboards, market share, and other datasets pertinent to the negotiations team).

The ability to develop/track performance measurements and financial acumen are critical qualities in this role.

This position can be located anywhere in the U.S. with the ability to work remotely and travel to a CVS Corporate Hub based upon business needs. This role will require occasional travel (i.e., 4-6 business trips annually).

Required Qualifications

• 8+ years demonstrating financial acumen and ability to drive outcomes while tracking and monitoring budget goals and financial targets
• 8+ years influencing and engaging stakeholders with diverse backgrounds and expertise
• 8+ years developing executive level materials that distill complex subjects into easily digestible insights
• 8+ year developing KPIs to track and monitor new initiatives and programs to ensure operational excellence and achievement of financial goals
• 8+ years using Microsoft Office Suite of products, with an emphasis on PowerPoint, Think Cell and Excel
• Deep understanding of healthcare including retail pharmacy, PBMs, and value-based care
• Working knowledge and expertise in the usage of internal tools - Sales Force, Tableau, and Foundry
• Demonstrated success solving complex problems, developing action plans, and executing on those solutions
• Excellent interpersonal communication skills, including active listening, self-management and awareness, emotional intelligence, and ability to flex interpersonal style

Preferred Qualifications

• 3+ years writing SQL and other coding languages (SAS, etc.) to develop data queries and conduct analyses
• 5+ years using visualization and dashboarding tools (e.g., Tableau, PowerBi, MicroStrategy, etc.)
• 8+ years driving growth strategies in a healthcare management or consulting roles
• Experience working with a geographically diverse team of hybrid and remote colleagues

Education

Bachelor’s degree, or equivalent experience required

Pay Range

The typical pay range for this role is:

$82,940.00 - $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. 
 
In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities.  The Company offers a full range of medical, dental, and vision benefits.  Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees.  The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners.  As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 
 
For more detailed information on available benefits, please visit Benefits | CVS Health

We anticipate the application window for this opening will close on: 02/28/2025

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