CVS Health
CVS Health
CVS Health yra Jungtinių Amerikos Valstijų sveikatos priežiūros įmonė, veikianti sveikatos priežiūros paslaugų, sveikatos draudimo, vaistų išmokų administravimo ir mažmeninės prekybos vaistais srityse. Per tokias veiklas kaip „Aetna“ ir „CVS Caremark“ įmonė padeda užtikrinti sveikatos draudimo apsaugą, receptinių vaistų prieinamumą, ligų valdymą, specializuotus vaistus ir vaistų užsakymo paštu paslaugas. Jos vietinės vaistinės ir platesnės priežiūros paslaugos skirtos tam, kad žmonės galėtų patogiau ir prieinamiau gauti būtiną sveikatos priežiūrą. CVS Health sujungia draudimo, vaistinių ir sveikatos priežiūros paslaugas, kad padėtų žmonėms ir bendruomenėms viso jų priežiūros kelio metu.

Executive Director of Retail Health Payer Contracting at CVS Health

Lead CVS Health’s Retail Health payer strategy, negotiations, relationships, and contract economics. Advance access, growth, and sustainable financial performance.

Aprašymas

  • Shape payer contracting strategies to support Retail Health priorities, growth goals, and care delivery models.
  • Analyze payer, reimbursement, and healthcare market trends to inform contracting decisions.
  • Counsel senior leaders on payer strategy, contracting opportunities, risks, and results.
  • Build and guide a strong payer contracting team.
  • Direct complex negotiations, renewals, amendments, and strategic discussions with national and regional health plans.
  • Develop senior payer relationships and identify potential partnerships.
  • Review reimbursement terms, contract economics, financial opportunities, and risks.
  • Manage the payer contract portfolio to meet financial, operational, and strategic goals.
  • Track contract results and improve reimbursement, contract value, and overall performance.
  • Work with Finance, Legal, Revenue Cycle, Operations, Clinical, and Compliance teams on contract development and execution.
  • Resolve major payer contracting issues, disputes, and escalations.

Reikalavimai

  • At least 15 years of progressive healthcare experience, including substantial payer or managed care contracting work.
  • Track record of setting payer strategy, leading complex healthcare contract negotiations, and managing senior payer relationships.
  • Strong knowledge of healthcare reimbursement models, contract economics, payer-provider relationships, and contract performance.
  • Strong financial and analytical judgment.
  • Excellent negotiation, executive communication, relationship-building, and influencing abilities.
  • Ability to lead within a complex, highly matrixed healthcare organization and align stakeholders.
  • Experience leading and developing effective teams.
  • Extensive work with national and regional health plans and government and commercial payer contracting is highly valued, particularly in ambulatory, physician, or retail health settings.
  • Bachelor’s degree required.
  • Advanced degree preferred.

Privalumai

  • CVS Health bonus, commission, or short-term incentive program.
  • Target award through the company’s equity award program.
  • Medical coverage.
  • Dental coverage.
  • Vision coverage.
  • Paid time off.
  • Retirement savings options.
  • Wellness programs.
  • Other resources supporting physical, emotional, and financial well-being.

Susiję darbai

Elevance Health

Clinical Programs Director, Oncology and Cardiovascular Care

Elevance Health

Lead whole-person oncology and cardiovascular programs for Elevance Health’s national accounts. Build Centers of Excellence networks and advise major healthcare clients on care solutions.

Atidaryti
Hiscox

Director of Technology Product Delivery

Hiscox
1 001 – 5 000 Darbuotojai
H1B vizos rėmėjasB2BDraudimasFinansai

Lead technology delivery transformation at Hiscox USA, shifting work toward empowered product teams. Oversee delivery measurement, investment tracking, modernization, and responsible AI adoption across the software development lifecycle.

Atidaryti
Pfizer

Clinical Development Director, Inflammation and Immunology

Pfizer

Lead Pfizer’s clinical development programs and trials for biologic and small-molecule therapies in inflammation and immunology. Guide study design, data review, cross-functional delivery, and regulatory compliance.

Atidaryti
Pfizer

Clinical Development Director, Inflammation and Immunology — Pfizer

Pfizer

Lead Pfizer’s clinical development programs for biologic and small molecule therapies in inflammation and immunology. Oversee study design, execution, data interpretation, and cross-functional collaboration.

Atidaryti