CVS Health is hiring a Lead Director, HealthCare Strategy and Rebate Forecast

CVS Health is looking for a Lead Director to join our Healthcare Strategy & Rebate Forecasting team. In this highly visible leadership role, you will drive strategies to advance rebate performance and profitability for both clients and our PBM organization, managing a team focused on formulary strategy and financial modeling.

What You'll Do

• Lead a team analyzing, researching, and recommending formulary strategies for the RFP process across Commercial, Managed Medicaid, Medicare, and Exchange market segments.
• Develop underwriting strategies by evaluating rebate models and identifying opportunities to enhance rebate offers.
• Develop ad hoc reporting and analysis to support rebate forecasting for all deals.
• Partner with the Formulary Strategy and Custom Formulary Consultant team on CVS strategic formulary initiatives in a matrixed environment.
• Understand manufacturer rebate contracts and the opportunities they create for clients based on unique characteristics and formulary strategy.
• Model and evaluate ad hoc projects including scenarios for all therapeutic areas at the prospect/client level and at the PBM level.
• Engage with Underwriting, Sales, and Trade Relations regarding Trade topics arising as part of the prospect/client RFP process.
• Lead a team to develop hybrid formulary recommendations using the IRF model to support the Underwriting RFP process for PBM bids.
• Create and articulate formulary strategies which meet CVS financial management goals, with an understanding of the impact of current market events.
• Lead and develop a high performing team of Senior Managers and Managers.

What We're Looking For

• 10+ years of experience in healthcare, financial modeling/analysis, or actuarial roles.
• Experience in leading a team.
• Experience in negotiating and/or understanding the Trade or other manufacturer/purchasing contracts.
• Experience with modeling, pricing and/or contracting for pharmaceuticals covered under the medical benefit.
• Experience manipulating and analyzing data from large databases using SAS, SQL or other appropriate software.
• Advanced capabilities using Microsoft PowerPoint, Excel, and Word.
• A Bachelor’s degree in finance, pharmacy, healthcare, business, or a related field is required; or equivalent experience.

Nice to Have

• Experience in interpreting the terms and conditions of agreements and turning them into actionable items for rebate forecasting analysis.
• Actuarial experience and financial data modeling.
• Experience in managed care which may include PBM, health plans, pharmaceutical market access, with a focus on financial strategy.
• 5+ years’ experience with pharmacy benefit management, employer or health plan contracts, prescription drug rebates, prescription drug spend, and/or formulary strategies.
• Exposure and/or knowledge of the evolving pharmaceutical regulatory environment.
• A Master’s degree and/or an actuarial designation is preferred.

Technical Stack

• SAS
• SQL
• Microsoft PowerPoint
• Microsoft Excel
• Microsoft Word

Team & Environment

This is a Lead Director role with direct reports on the Healthcare Strategy & Rebate Forecasting team, leading a team of Senior Managers and Managers.

Benefits & Compensation

• Compensation range: $100,000.00 - $231,540.00 + equity, which includes an award target in the company’s equity award program.
• Vacation and holiday paid time off.
• Health, dental, and vision insurance.
• Work/life balance support.
• Employee discounted stock purchase program.
• 401(k) plan with matching company contributions.
• Tuition reimbursement.
• Employee discounts at all CVS stores.
• Affordable medical plan options and an employee stock purchase plan.
• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

Company Culture

We are building a world of health around every consumer. We surround ourselves with dedicated colleagues who are passionate about transforming health care, caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. We are committed to fostering a workplace where every colleague feels valued and that they belong.

CVS Health is an equal opportunity employer. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.