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

Leading contracting efforts under the Retail Health division of CVS Health, the Senior Manager, Payer Relations manages and optimizes relationships with payers which serve as the primary revenue source and access channel for MinuteClinic patients. This role manages relationships with payers by strategically negotiating contracts, evaluating payer performance, resolving issues or disputes, and collaborating with internal and external stakeholders. Payer relationships will include all aspects of MinuteClinic services, including Primary Care, Retail Care, and/or Behavioral Health. What you will do

• Acts as a top-level specialist in contract negotiations with payers, establishing reimbursement rates, terms, and conditions that align with business objectives and financial goals.
• Creates and maintains strong working relationships with payer representatives and key decision-makers, including addressing concerns or issues, and collaborating to identify opportunities for mutually beneficial results.
• Advises on the development of the organization's payer strategy by analyzing market trends, identifying emerging opportunities, and assessing payer landscape dynamics.
• Evaluates payer performance metrics, such as claims processing, reimbursement accuracy, and contract compliance, and identifies areas for improvement.
• Develops and executes payer agreements by collaborating with legal, finance, and operations to ensure all payer aspects are sufficiently addressed and advanced.
• Interfaces with internal stakeholders to ensure timely and accurate fee schedule implementations and educate stakeholders on terms and conditions of payer arrangement.
• Corrects conflicts, addresses grievances, and negotiates satisfactory resolutions of payer-related issues and disputes.
• Consults on industry trends, regulatory changes, and healthcare policy developments that could impact payer relations and reimbursement models.
• Provides continuous recommendations to senior leadership to guide decision-making and ensure alignment with the organization's strategic goals.

• Minimum 7 years work experience managing payer and/or provider contracting for fee for service and/or value-based contracting.
• Experience working with multiple different payer and/or provider systems, including established network of payer contacts
• Familiar with contract analytics, implementation, and ongoing contract management
• High level understanding of claims, credentialling, and revenue cycle processes
• Proficient in Microsoft Office Products, specifically 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
• Adept at execution and delivery (planning, delivering, and supporting) skills.

• Bachelor's degree preferred