Lead Director, Pharma Contracting

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Our Heart At Work Behaviors™ support this purpose. We 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 affordable.

Position Summary :

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 covered under the medical benefit for CVS Caremark; a proud member of the CVS Health family of companies.

In this non-supervisory Director level position, you will assume a highly visible role and responsibility to lead discussions and engage in strategic negotiations on high-value medical rebate contracts and value based agreements for Medicare Part B, Managed Medicaid, and Commercial segments. This includes management of the business relationship with pharmaceutical manufacturers and contracting for discounts on branded pharmaceutical products. You will engage with cross functional teams across the organization, and you will partner on high profile negotiation strategies.

We are searching for a confident, creative professional with a background in complex contract negotiations that has led and cultivated multiple business relationships. Your strategic vision, critical thinking, and creativity will aid in your success. A professional presence, excellent presentation and communication skills are essential in the engagement and interaction process with manufacturers and internal colleagues.

ADDITIONAL ACCOUNT MANAGEMENT DUTIES INCLUDE:

• You will work closely with the Vice President of Trade Relations in the negotiation strategies with market access functions of branded pharmaceutical manufacturers.
• You will lead discussions and negotiations for medical rebates for branded pharmaceuticals covered under the medical benefit where CVS Caremark is the PBM, providing input and recommendations for formulary strategies and positioning, and negotiating contracts that support those strategies.
• You will positively develop and foster strong relationships with direct manufacturers and industry partners.
• You will coordinate with other key leaders that have responsibility for pharmacy benefit strategies to create synergies and value.
• You will have an opportunity to directly work with pharmaceutical manufacturers and provide relationship management on medical rebate issues for your assigned segments.
• You will be accountable for Rebate contracting with assigned manufacturers.

Required Qualifications

• A minimum of 8 years experience in managed care which may include PBM, Pharma, market access, account management, specialty pharmacy, or health plan.
• Ability to travel up to 10% if necessary.

Preferred Qualifications

• 8+ Years of experience negotiating contracts in the Healthcare or PBM industry
• Strong knowledge and understanding of pharmaceutical medical rebates, buy and bill, and/or Medicare Part B benefit designs
• Familiarity with ASP pricing and reporting of pharmaceutical products
• Experience with Value Based Contracts on pharmaceutical products, CAR-T and/or Gene Therapy
• Coordination of key decision makers and ability to elevate critical issues.

Education

Bachelor’s degree required.

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. 

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. 

For more detailed information on available benefits, please visit Benefits nearmejobs.eu CVS Health

We anticipate the application window for this opening will close on: 01/27/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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