[Hiring] Lead Director, Pharma Contracting - Trade Relations @CVS Health

Role Description

Health is everything. At CVS Health, our colleagues are committed to increasing access, lowering costs and improving quality of care. In this Director level role, you will have the opportunity to have a significant impact in lowering costs for branded pharmaceutical utilization for CVS Caremark; a proud member of the CVS Health family of companies.

In this position, you will assume a highly visible role serving as the point person for value realization on high-value rebate contracts across Commercial, Health Exchange, Medicare, and Managed Medicaid segments. This includes ensuring that contracted discounts on branded pharmaceutical products are accurately realized, reconciled, and reported, as well as resolving related manufacturer disputes. You will engage with cross-functional teams across the organization and partner on high-profile negotiation strategies, drawing on value performance insights and dispute trends to inform them. You will also help shape the financial outlook against which the Caremark Government team's performance is measured.

We are searching for a confident, analytical professional with a background in healthcare or contracting who has led and cultivated multiple business relationships. Your strategic vision, critical thinking, and creative problem-solving will aid in your success, as will the ability to interpret contract terms and performance data and turn them into practical, mutually acceptable outcomes. A professional presence and excellent presentation and communication skills are essential for engaging with manufacturers and internal colleagues.

Qualifications

• 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 (Excel, SQL, Tableau, or similar tools).
• Strong written and verbal communication skills, with the ability to work effectively with cross-functional teams and external partners.

Requirements

• 4+ Years of experience negotiating contracts in the Healthcare or PBM industry.
• Strong knowledge and understanding of pharmaceutical rebates, 340B/other government programs, and prescription benefit designs.
• Familiarity with pharmaceutical pricing and reporting of pharmaceutical products.
• Experience managing, negotiating, or resolving rebate or contract disputes with pharmaceutical manufacturers, including audit findings, invoice discrepancies, and contract interpretation issues.
• Familiarity with formulary management and how formulary positioning affects rebate performance.

Benefits

• Medical, dental, and vision coverage.
• Paid time off.
• Retirement savings options.
• Wellness programs and other resources, based on eligibility.

Education

• Bachelor's degree required.
• Master’s or advanced degree strongly preferred.

Pay Range

The typical pay range for this role is: $100,000.00 - $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.