Payer Relations Account Executive

This is a fully remote position, open to applicants in Rhode Island.

📋 Description

• Propel new business development and enhance CVS Pharmacy’s standing within payer networks.

• Cultivate and nurture relationships with pharmacy benefit managers, health plans, discount program providers, and state Medicaid agencies.

• Establish new agreements and reinforce strategic alliances.

• Identify, assess, and pursue new business prospects.

• Create and uphold a pipeline of opportunities, forecast potential business outcomes, and monitor progress towards targets.

• Formulate and deliver business cases and proposals that align with service, quality, network design, and volume commitments.

• Collaborate with internal stakeholders to explore market opportunities and competitive positioning.

• Assist in contract negotiations.

• Oversee the transition of newly executed agreements to account management teams.

• Aid in performance evaluations throughout the initial contract lifecycle.

• Willingness to travel up to 20%.

⛳️ Requirements

• Over 7 years of experience in sales, business development, account management, healthcare contracting, or a similar area.

• A proven history of sourcing, negotiating, and finalizing new business agreements with quantifiable results.

• Experience in creating data-driven business cases and presenting findings to stakeholders.

• Proven ability to foster relationships and influence decision-making with senior external partners.

• Strong business acumen with the capability to work autonomously and navigate intricate commercial discussions.

• Bachelor's degree required, or an 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: understanding of pharmacy network structures, payer relationships, and reimbursement models.

• Preferred: experience collaborating with pharmacy benefit managers, regional health plans, or Medicaid organizations.

• Preferred: experience in 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.

• Additional resources to support physical, emotional, and financial well-being.