Senior Manager, Pricing, CVS Health

Senior Manager, Pricing

CVS Health

Location:
United States, Work At Home

Category:
Finance

Contract Type:
Employment contract

Salary:

Not provided

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Job Description:

The Senior Manager, Pricing will lead a team to manage pharmacy reimbursement appeals and implement solutions to improve processes. This role involves leadership, quality control, compliance, and collaboration with legal, finance, and other business units.

Job Responsibility:

Leads with strategic leadership and guidance to pricing teams
Analyzes pricing data, market trends, and competitive insights
Collaborates cross-functionally with legal, finance, and account teams
Influences stakeholders through effective communication and negotiation
Applies experienced-based pricing knowledge to influence strategic decision-making
Counsels and mentor pricing team members
Delivers pricing solutions and recommendations that drive profitability and revenue optimization

Requirements:

7+ years relevant work experience
5+ years directly leading operations teams
1+ years’ experience with pharmacy appeal related processes and state regulations, and claims adjudication, including claims adjudication logic

Nice to have:

Excellent leadership skills
Proficient in Excel, MS Access, Salesforce, and Pharmacy Portal
Ability to work under tight deadlines
Strong mathematical problem-solving skills
Prior PBM Knowledge
Familiarity with wholesaler invoices

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
employee stock purchase plan
No-cost programs 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

Additional Information:

Job Posted:
May 17, 2025

Expiration:
May 31, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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