Payer Relations Account Executive

Job not on LinkedIn

🔥 1 minute ago

⚓ Rhode Island – Remote

⚓ Rhode Island – Remote

💵 $82.9k - $182.5k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🧑‍💼 Account Executive

👻 Ghost score 0%

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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

• Drive new business growth and expand CVS Pharmacy’s position within payer networks • Develop and advance relationships with pharmacy benefit managers, health plans, discount program providers, and state Medicaid organizations • Secure new agreements and strengthen strategic partnerships • Identify, qualify, and advance new business opportunities • Build and maintain an opportunity pipeline, forecast potential business impact, and track progress toward goals • Develop and present business cases and proposals aligned with service, quality, network design, and volume commitments • Partner with internal stakeholders to evaluate market opportunities and competitive positioning • Support contract negotiations • Facilitate transitions of newly executed agreements to account management teams • Support performance reviews during the initial contract lifecycle • Travel up to 20%

🎯 Requirements

• 7+ years of experience in sales, business development, account management, healthcare contracting, or a related field • Proven track record of sourcing, negotiating, and closing new business agreements with measurable results • Experience developing data-driven business cases and presenting recommendations to stakeholders • Demonstrated ability to build relationships and influence decision-making with senior external partners • Strong business judgment with the ability to work independently and navigate complex commercial discussions • Bachelor's degree required, or equivalent combination of education and relevant work experience • Up to 20% travel required • Preferred: experience in pharmacy benefit management, retail pharmacy, managed care, or healthcare services • Preferred: knowledge of pharmacy network structures, payer relationships, and reimbursement models • Preferred: experience working with pharmacy benefit managers, regional health plans, or Medicaid organizations • Preferred: experience supporting value-based, performance-based, or outcomes-driven business arrangements

🏖️ Benefits

• CVS Health bonus, commission or short-term incentive program • Award target in the company’s 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