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We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. The AVP, Payer Relations Strategy and Execution is a senior leadership role accountable for sharping CVS Pharmacy’s payer posture for its largest and most complex payer relationships. This role is responsible for designing forward-looking payer strategy, enforcing pricing discipline, and expanding enterprise partnerships beyond transactional negotiations. This is a strategy-first leadership role with targeted but critical negotiation ownership. Success requires anticipatory thinking, independent judgment, and the ability to operate credibly with enterprise executives and sophisticated payer counterparts.
Job Responsibility:
Payer strategy and direction
Negotiation leadership and pricing discipline
Enterprise partnership development
Cross-functional and executive leadership
Team and capability development
Directly responsible for the oversight and administration regarding contract negotiations of rates, terms and conditions with multiple payers (PBMs, clients, third parties) that fall within the annual forecasted financial plan
Oversight and direction of final contract execution of payer contracts
Drive new products in the CVS retail pharmacy space (CostVantage) and indirectly support new PBM initiatives to align with the market place and create positive next generation opportunities for overall enterprise financial and strategic value
Oversight of 3-5 direct reports (Executive Directors, Lead Directors) and 3 – 5 indirect reports (Lead Directors, Account Executives, Senior Managers) who will be responsible for the management and growth of our payer partners
Requirements:
10+ years of experience in the PBM, payer, and/or retail pharmacy industry, with strong understanding of healthcare and pharmacy market dynamics, including government and commercial payors, drug benefit design, and cost drivers
Experience negotiating PBM and/or retail pharmacy contracts with demonstrated strength in financial evaluation, underwriting, and pro‑forma development
Executive‑level consulting experience translating business problems into analytics‑driven solutions with measurable business impact
Proven ability to evaluate initiatives based on business value and ROI, supported by strong analytical rigor and quantitative analysis skills
Hands‑on analytics experience in retail, healthcare, or related industries, with a track record of deploying analytic capabilities across diverse business functions
Strong strategic thinking skills, including the ability to define business problems, develop analytical and financial frameworks, and drive strategic plan development and execution
Expertise in interpreting financial data, forecasting, and applying predictive analysis to inform decision-making
Demonstrated ability to build, lead, mentor, and develop high‑performing teams while fostering a collaborative, supportive culture
Proven success building strong partnerships with cross‑functional and non‑analytic business leaders, including senior executives
Exceptional communication skills—written, verbal, and data presentation—with ability to tailor messaging to audiences ranging from technical analysts to executive leadership
Strong project management skills with ability to manage multiple initiatives, prioritize effectively, and operate independently while anticipating issues and driving outcomes
Ability to work in an executive‑facing environment while balancing individual contributor responsibilities, team leadership, and succession planning
Proficiency in Microsoft Office (Excel, PowerPoint, Word)
Visio experience preferred
Willingness to work extended hours when required
Ability to travel up to 40%
Bachelor’s Degree is Required
Nice to have:
Influence others: Must possess the ability to structure useful guidance around complex and far reaching strategy decisions to influence and guide the decisions made by others
Subscribe to a 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 stronger
Be a self-starter and see contract negotiations through to completion within an established timeframe
Manage to a critical path and troubleshoot without losing sight of the end goals
Maintain customer focus while meeting/exceeding financial expectations
MBA or Public Health-related, CPhT, Pharm.D. is Preferred
What we offer:
Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access
CVS Health bonus, commission or short-term incentive program