Payer Relations Account Executive

Job not on LinkedIn

6 hours ago

⚓ Rhode Island – Remote

Although this job is listed in Rhode Island, this company may be open to hiring remote in other states.

💵 $82.9k - $182.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧑‍💼 Account Executive

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CVS Health

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Healthcare Insurance • Retail • Wellness

CVS Health is a leading American healthcare company dedicated to improving health access and affordability. The company focuses on a comprehensive approach that includes health services, health insurance, and pharmacy benefits management. Through its subsidiaries, such as Aetna and CVS Caremark, CVS Health offers a range of services that facilitate wellness, condition management, and affordable prescription drug coverage. CVS Health operates neighborhood pharmacies, provides mail-order pharmacy services, and manages specialty medication programs, aiming to make healthcare convenient and accessible for everyone. Driven by a mission to connect people with essential care services, CVS Health is committed to fostering healthier communities and supporting the wellbeing of all individuals.

10,000+ employees

Founded 1963

⚕️ Healthcare Insurance

🛒 Retail

🧘 Wellness

📋 Description

• Support a Payer Relations Director (PRD) in managing PBM relationships • Develop payer specific strategy, value proposition, goals, and targets • Negotiate network contract/terms, script growth opportunities, margin retention • Act as primary liaison for a book of smaller PBMs with oversight from a PRD • Ensure timely/successful delivery of PBM requests • Drive resolution within a timely manner for complex requests

🎯 Requirements

• 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 • 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

🏖️ Benefits

• Affordable medical plan options • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-cost wellness screenings • Tobacco cessation and weight management programs • Confidential counseling and financial coaching • Paid time off • Flexible work schedules • Family leave • Dependent care resources • Colleague assistance programs • Tuition assistance • Retiree medical access