Strategic Account Executive - Specialty Pharmacy Payer Relations

Specialty Strategic Account Executive - Payer Relations

At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

The Specialty Strategic Account Executive - Payer Relations manages a portfolio of small to mid-size regional health plan and third-party payer clients, with potential expansion to national markets in specialty pharmacy. This role supports growth, retention, and profitability for the Specialty Pharmacy Payer Relations team by leveraging strategic client engagement, contract negotiation, and market analysis skills. The position is remote, requires travel, and prefers candidates near major airports.

In addition to managing their client portfolio, the Account Executive develops and maintains strong relationships with payer clients, ensures contract compliance, resolves escalated client concerns, identifies business opportunities, and collaborates with internal cross-functional teams to deliver effective specialty pharmacy solutions. The role also involves preparing reports, tracking key performance metrics, and providing insights to support decision-making and business strategy.

Key Responsibilities

• Develop and execute comprehensive account plans for an assigned book of small to mid-size payer and health plan clients, outlining growth objectives, revenue targets, and action steps.
• Conduct sales presentations, negotiations, and contract discussions to secure new business, expand existing relationships, and drive account renewals.
• Serve as a trusted advisor to strategic accounts, establishing credibility and acting as the primary point of contact to address client needs, inquiries, and concerns.
• Prepare and analyze sales forecasts, results reports, and presentations, including variance analyses versus budget forecasts, supporting periodic sales revenue target setting and forecasting.
• Collaborate with sales, IT, finance, marketing, product, and operations teams to develop and maintain reporting requirements, ensuring timely and accurate revenue recognition and forecasting data.
• Support sales teams in evaluating deal scenarios, contract terms, and in tracking sales versus quota data to determine commissions.
• Research and estimate market demand, analyze variances, and provide strategic recommendations for optimizing account performance and revenue growth.
• Advise clients on industry regulations, payer policies, and evolving market dynamics that may impact specialty pharmacy services and strategic accounts.
• Drive customer satisfaction and retention by proactively anticipating client needs, addressing any issues, and providing exceptional service throughout the client relationship lifecycle.
• Ensure compliance, competitive positioning, and mutually beneficial outcomes in all specialty pharmacy network agreements and contract negotiations.

Required Qualifications

Minimum 7-10 years of experience in sales, account management, payer relations, or a related field within specialty pharmacy, health plan, PBM, or healthcare industry.

Demonstrated experience managing direct client relationships, including sales presentations, negotiations, and contract execution, with a focus on small to mid-size payers or health plans.

Adept in problem solving and decision making, with the ability to analyze data and develop actionable insights.

Strong collaboration and teamwork skills, with experience working cross-functionally to align strategies and support successful account outcomes.

Growth mindset with a focus on agility, development, and continuous improvement for self and others.

Proven ability to execute and deliver results in planning, organizing, and supporting account and sales initiatives.

Advanced business intelligence and analytical abilities, capable of preparing forecasts, tracking performance, and supporting strategic decision-making.

Excellent communication and interpersonal skills, with the ability to establish trust and credibility with diverse stakeholders.

Ability to travel 25-40% as required by business needs.

Education : Bachelor's degree

Anticipated Weekly Hours : 40

Time Type : Full time

Pay Range : The typical pay range for this role is : $75,500.00 - $189,964.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include : Affordable medical plan options, a 401(k) plan (including matching company contributions), 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 that address the different needs and preferences of our colleagues 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.