Payer Relations Account Executive

CVS Health•Woonsocket, RI

3d•$82,940 - $182,549•Hybrid

About The Position

The Payer Relations Account Executive is responsible for driving new business growth and expanding CVS Pharmacy’s position within payer networks. This role develops and advances relationships with pharmacy benefit managers, health plans, discount program providers, and state Medicaid organizations to secure new agreements and strengthen strategic partnerships. Working closely with internal partners, the Account Executive builds compelling business cases, develops growth opportunities, and supports business expansion initiatives that deliver measurable value.

Requirements

7+ years of experience in sales, business development, account management, healthcare contracting, or a related field.
Proven track record of sourcing, negotiating, and closing new business agreements with measurable results.
Experience developing data-driven business cases and presenting recommendations to stakeholders.
Demonstrated ability to build relationships and influence decision-making with senior external partners.
Strong business judgment with the ability to work independently and navigate complex commercial discussions.
Bachelor's degree required, or equivalent combination of education and relevant work experience.

Nice To Haves

Experience in pharmacy benefit management, retail pharmacy, managed care, or healthcare services.
Knowledge of pharmacy network structures, payer relationships, and reimbursement models.
Experience working with pharmacy benefit managers, regional health plans, or Medicaid organizations.
Experience supporting value-based, performance-based, or outcomes-driven business arrangements.
Interest in career progression within payer relations, strategic partnerships, or healthcare business development.
Master's degree (MBA, MHA, or related field) preferred.

Responsibilities

Identify, qualify, and advance new business opportunities with pharmacy benefit managers, health plans, discount providers, and state Medicaid programs.
Build and maintain a pipeline of opportunities, including forecasting potential business impact and tracking progress toward goals.
Develop and present business cases and proposals that align service, quality, network design, and volume commitments with customer needs.
Partner with internal stakeholders to evaluate market opportunities, assess competitive positioning, and support contract negotiations.
Facilitate smooth transitions of newly executed agreements to ongoing account management teams and support performance reviews during the initial contract lifecycle.