Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.

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

Supporting contracting efforts under the Retail Health division of CVS Health, the Manager, Payer Relations manages and optimizes relationships with payers which serve as the primary revenue source and access channel for MinuteClinic patients. This role may independently manage regional payers and/or support Contract Directors managing large national and regional payers. Additionally, this role will be responsible for leading organizational efforts to improve the accuracy and efficiency of payer relationship management and payer contract compliance.The Retail Health Contracting and Value team strategically negotiates contracts, evaluates payer performance, resolves issues, and disputes, and collaborates with internal and external stakeholders. Payer relationships will include all aspects of MinuteClinic services, including Primary Care, Retail Care, and/or Behavioral Health. Additionally, the team is responsible for select vendor contracts that support the administration of MinuteClinic services.Position may sit anywhere in the country but East Coast and/or near CVS Hub location preferred. What you will do

• Supports contract negotiations with payers and vendors, establishing rates, terms, and conditions that align with business objectives and financial goals.
• Maintains strong working relationships with external partners and key decision-makers, including addressing concerns or issues, and collaborating to identify opportunities for mutually beneficial results.
• Evaluates contract performance metrics, such as claims processing, reimbursement accuracy, and contract compliance, and identifies areas for improvement.
• Collaborates with internal stakeholders to ensure timely and accurate contract implementations and ongoing expert on terms and conditions of payer arrangement.
• Coordinates and negotiates satisfactory resolutions of payer-related issues and disputes.
• Advises on the development of the organization's payer strategy by analyzing market trends, identifying emerging opportunities, and assessing payer landscape dynamics.
• Leverages analytical skills for special products that require root cause analysis and executive summarization to facilitate decision making.
• Manages department-wide efforts to improve the accuracy and efficiency of payer relationship management processes.

• Minimum 5 years work experience with health care contracting.
• Experience working with payer and/or provider systems.
• In-depth understanding of health care processes (e.g., claims and revenue cycle processes).
• Experience with contract governance and performance management.
• Ability to produce executive deliverables (emails, PowerPoint, presentations) that synthesize complex issues to facilitate understanding and decision making.
• Proficient in Microsoft Office Products, specifically PowerPoint and Excel.
• Ability to think independently in a fast-paced environment where priorities change quickly.
• Adept at problem solving within a large matrix organization and skilled in leveraging interpersonal relationships and teamwork to solve complex problems.

• Bachelor's degree preferred .