Lead Director, Pharma Contracting – Trade Relations

Job not on LinkedIn

🔥 0 minutes ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $100k - $231.5k / year

⏰ Full Time

🟠 Senior

👔 Director

👻 Ghost score 0%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

CVS Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1963

🏥 Healthcare

⚕️ Healthcare Insurance

🛒 Retail

Healthcare • Healthcare Insurance • Retail

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.

📋 Description

• Serve as the point person for value realization on high-value rebate contracts across Commercial, Health Exchange, Medicare, and Managed Medicaid segments • Track and validate value delivered under manufacturer rebate agreements • Ensure contracted discounts on branded pharmaceutical products are accurately realized, reconciled, and reported • Resolve rebate and contract disputes with manufacturers in a timely, mutually acceptable manner • Partner with the Executive Director and Vice President of Trade Relations on negotiation strategies • Use value performance, utilization data, forecasts, and dispute trends to optimize contract performance • Build and sustain relationships with manufacturers and industry partners • Coordinate with finance, clinical, operations, and client teams on value drivers, forecast assumptions, and dispute positions • Develop and deliver executive-level presentations on value performance, forecast shifts, and dispute outcomes • Maintain accountability for rebate contracting outcomes from execution through realized value • Expand the role and manage additional responsibilities • Develop and manage people

🎯 Requirements

• A minimum of 8 years’ experience in managed care, which may include PBM, Pharma, market access, account management, specialty pharmacy, or other payor experience • Ability to travel up to 25% of the time, as necessary • Strong analytical skills, including the ability to work with large claims and rebate data sets using Excel, SQL, Tableau, or similar tools • Strong written and verbal communication skills • Ability to work effectively with cross-functional teams and external partners • Bachelor's degree required • Master’s or advanced degree strongly preferred • 4+ years of experience negotiating contracts in the Healthcare or PBM industry preferred • Strong knowledge and understanding of pharmaceutical rebates, 340B/other government programs, and prescription benefit designs preferred • Familiarity with pharmaceutical pricing and reporting of pharmaceutical products preferred • Experience managing, negotiating, or resolving rebate or contract disputes with pharmaceutical manufacturers preferred • Familiarity with formulary management and how formulary positioning affects rebate performance preferred • Ideally work within EST or CST

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Equity award program • Medical coverage • Dental coverage • Vision coverage • Paid time off • Retirement savings options • Wellness programs • Other resources supporting physical, emotional, and financial well-being