CVS Health

Lead Director, Payer Relations

RI, US$100,000-$231,540Posted 2 days ago

Job Description

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.

Position Summary

The Lead Director, Payer Relations is responsible for leading strategic relationships and contract negotiations with pharmacy benefit managers (PBMs), health plans, insurance carriers, Medicaid programs, and other payer organizations. This role drives financial performance, network positioning, and long-term business growth through effective negotiation, relationship management, and commercial strategy. The ideal candidate is an experienced healthcare leader with deep expertise in payer contracting, financial accountability, and executive-level stakeholder engagement.

What You'll Gain

  • Opportunity to influence enterprise-wide payer strategy and financial outcomes
  • Exposure to senior healthcare executives and industry-leading payer organizations
  • Ability to mentor and develop future payer relations leaders

Roles & Responsibilities

  • Lead contract negotiations and manage an assigned portfolio of payer relationships, ensuring favorable rates, terms, and business outcomes.
  • Develop and execute negotiation strategies that support financial, operational, and market-share objectives.
  • Monitor portfolio performance, identify risks and opportunities, and recommend actions to improve profitability and growth.
  • Build and maintain executive-level relationships with payer organizations and collaborate with internal partners across Finance, Legal, Operations, Analytics, and Government Affairs.
  • Coach and develop team members while contributing to negotiation best practices, talent developm

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