Executive Director, Managed Care
Bring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose:
Bringing our heart to every moment of your healthThis purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing worldAnchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliverOur Heart At Work Behaviors support this purposeWe want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordablePosition Summary As the Payer Relations Senior Director you will have the opportunity to lead a team of Regional Directors who each manage a portfolio of payers responsible for over $56B in salesIn this role the Senior Director will be responsible for developing our payer specific strategy, value proposition, aligning goals and targetsThis individual will have direct interaction with Executive Leadership both internally and externallyAs a healthcare leader, you will oversee 3-5 direct reports that will be responsible for the management and growth of our payer partnersYour primary focus as a Senior Director is to lead and develop your team to set, drive and align organizational focus and strategy with their assigned payersIn addition the individual should be able to work cross functional across the organization to coordinate activity, drive innovation and achieve resultsThe successful candidate will possess the following skills:
Structured & Logical Thinking:
The ability to identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analysis and/or measure successAnalytical Rigor:
Proven capability conducting and managing quantitative portfolio growth analysisPrimary Responsibilities include:
- Leading the direct activities of the payer relations team by providing strategy and support - Being accountable for contract and financial review of the teams associated accounts - Developing and maintaining SrLevel relationships internally and externally - Clearly communicating the payers opportunity and the risks associated - Leading the team with strategizing, planning, and other tools to meet client needs - Managing proformas and associated contracts Your success as a Payer Relations Senior Director will be driven by your ability to articulate and manage your teams associated book of businessYour understanding of the Healthcare landscape and managed care environment as well as keeping up to date on market trends will enable you to position CVS effectively as a network partnerThe contributions you will make as a Senior Director will position CVS Health for long term growth in the competitive pharmacy and healthcare marketplaceThe candidate will have the ability to travel up to 40% of the timeRequired Qualifications 10
years of cumulative work experience with the Pharmacy Benefit Management or Retail Pharmacy Industry Prior Leadership experience Knowledge of the Overall Healthcare and Pharmacy Landscape Strong understanding of Health Plan Payers and associated lines of business-Medicaid, Medicare, Commercial, Exchanges Passion for Health Care:
A history of work in the health care industry and an ongoing desire to make one of the world's strongest health care companies even strongerTeam Leadership:
Highly developed relationship-building skills to foster effective working relations across the Retail EnterpriseInfluencing others:
Must possess the ability to structure useful guidance around complex and far reaching strategy decisions to influence and guide the decisions made by othersStrong communication skills both written and verbal- individual needs to be comfortable presenting to SrExecutives, Subject Matter Experts, Pharmacy, Medical Affairs etcCommunicate in an open and honest way that quickly builds trust and respectProficiency with Microsoft Office including PowerPoint and Excel, Word, etcEducation:
Bachelor's Degree required Pay Range The typical pay range for this role is:
$131,500.
00 - $303,200.
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 fallsThe actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factorsThis position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed aboveThis position also includes an award target in the company's equity award programIn addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communitiesThe Company offers a full range of medical, dental, and vision benefitsEligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employeesThe Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefitsCVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partnersAs for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar yearNumber of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policiesFor more detailed information on available benefits, please visit jobs.
CVSHealth.
com/benefits CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinatedYou are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employmentPlease note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively workCVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilitiesAs such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functionsCVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations redacted If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS)We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
Recommended Skills Cvs Coaching And Mentoring Critical Thinking Customer Value Proposition Finance Geography Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
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open('/interstitial?jobdid=j3n7mx6r7n43325krtp', 'ExternalApply-j3n7mx6r7n43325krtp'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
Bringing our heart to every moment of your healthThis purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing worldAnchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliverOur Heart At Work Behaviors support this purposeWe want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordablePosition Summary As the Payer Relations Senior Director you will have the opportunity to lead a team of Regional Directors who each manage a portfolio of payers responsible for over $56B in salesIn this role the Senior Director will be responsible for developing our payer specific strategy, value proposition, aligning goals and targetsThis individual will have direct interaction with Executive Leadership both internally and externallyAs a healthcare leader, you will oversee 3-5 direct reports that will be responsible for the management and growth of our payer partnersYour primary focus as a Senior Director is to lead and develop your team to set, drive and align organizational focus and strategy with their assigned payersIn addition the individual should be able to work cross functional across the organization to coordinate activity, drive innovation and achieve resultsThe successful candidate will possess the following skills:
Structured & Logical Thinking:
The ability to identify and define business problems and issues, and develop strategic, analytical, and financial frameworks to conduct analysis and/or measure successAnalytical Rigor:
Proven capability conducting and managing quantitative portfolio growth analysisPrimary Responsibilities include:
- Leading the direct activities of the payer relations team by providing strategy and support - Being accountable for contract and financial review of the teams associated accounts - Developing and maintaining SrLevel relationships internally and externally - Clearly communicating the payers opportunity and the risks associated - Leading the team with strategizing, planning, and other tools to meet client needs - Managing proformas and associated contracts Your success as a Payer Relations Senior Director will be driven by your ability to articulate and manage your teams associated book of businessYour understanding of the Healthcare landscape and managed care environment as well as keeping up to date on market trends will enable you to position CVS effectively as a network partnerThe contributions you will make as a Senior Director will position CVS Health for long term growth in the competitive pharmacy and healthcare marketplaceThe candidate will have the ability to travel up to 40% of the timeRequired Qualifications 10
years of cumulative work experience with the Pharmacy Benefit Management or Retail Pharmacy Industry Prior Leadership experience Knowledge of the Overall Healthcare and Pharmacy Landscape Strong understanding of Health Plan Payers and associated lines of business-Medicaid, Medicare, Commercial, Exchanges Passion for Health Care:
A history of work in the health care industry and an ongoing desire to make one of the world's strongest health care companies even strongerTeam Leadership:
Highly developed relationship-building skills to foster effective working relations across the Retail EnterpriseInfluencing others:
Must possess the ability to structure useful guidance around complex and far reaching strategy decisions to influence and guide the decisions made by othersStrong communication skills both written and verbal- individual needs to be comfortable presenting to SrExecutives, Subject Matter Experts, Pharmacy, Medical Affairs etcCommunicate in an open and honest way that quickly builds trust and respectProficiency with Microsoft Office including PowerPoint and Excel, Word, etcEducation:
Bachelor's Degree required Pay Range The typical pay range for this role is:
$131,500.
00 - $303,200.
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 fallsThe actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factorsThis position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed aboveThis position also includes an award target in the company's equity award programIn addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communitiesThe Company offers a full range of medical, dental, and vision benefitsEligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employeesThe Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefitsCVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partnersAs for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar yearNumber of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policiesFor more detailed information on available benefits, please visit jobs.
CVSHealth.
com/benefits CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinatedYou are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employmentPlease note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively workCVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilitiesAs such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functionsCVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations redacted If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS)We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution.
Recommended Skills Cvs Coaching And Mentoring Critical Thinking Customer Value Proposition Finance Geography Apply to this job.
Think you're the perfect candidate? Apply on company site $('.
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on('click', function (event) window.
ExternalApply = window.
open('/interstitial?jobdid=j3n7mx6r7n43325krtp', 'ExternalApply-j3n7mx6r7n43325krtp'); ); Estimated Salary: $20 to $28 per hour based on qualifications.
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