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Executive Director, Specialty PBM

AT CVS Health
CVS Health

Executive Director, Specialty PBM

Albany, NY

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.Provides strategic direction and leadership for the specialty pharmacy benefit management (PBM) business unit, setting goals and objectives to meet the organization's mission and vision.Oversees the overall specialty pharmacy strategy for Caremark's largest PBM client.The position requires the ability to work effectively with executive leadership across the CVS Health enterprise.This includes collaborating with senior leaders to align client strategies with organizational goals and ensuring that client needs are integrated into the broader business objectives.This role requires a strategic thinker who can lead high-level client interactions while also diving into the specifics to ensure all aspects of the relationship are managed thoroughly and effectively.Requires active leadership in all details of the client relationship, including pharmacy and medical specialty contract negotiations, specialty product/program/pilot management, and management of all client-related activities to ensure seamless execution.This role will:

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  • Promote collaboration across different functions/departments to achieve the best possible outcomes for both the client and the organization.
  • Analyze data related to specialty drug utilization, cost trends, and patient outcomes to drive data-driven decision-making and uncover specialty product/program/pilot opportunities.
  • Oversee budgeting, financial forecasting, and cost management operations within the specialty PBM business unit.
  • Develop relationships with internal leaders and key stakeholders to achieve sustainable results and ensure high-quality operational processes.
  • Ensure constant compliance with all applicable laws, regulations, and industry guidelines that govern specialty pharmacy services.
Required Qualifications:
  • PBM and Specialty Pharmacy experience required.
  • 15+ years of experience in PBM and/or Specialty Pharmacy
Preferred Qualifications:
  • Adept at execution and delivery (planning, delivering, and supporting) skills
  • Adept at business intelligence
  • Adept at collaboration and teamwork
  • Mastery of problem solving and decision making skills
  • Mastery of growth mindset (agility and developing yourself and others)
  • Managerial experience preferred.
Education:
  • Bachelor's degree
Anticipated Weekly Hours
40Time Type
Full timePay Range

The typical pay range for this role is:$120,800.00 - $265,914.00This 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 peopleWe 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.
For more information, visit https://jobs.cvshealth.com/us/en/benefitsWe anticipate the application window for this opening will close on: 06/20/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Client-provided location(s): Albany, NY, USA
Job ID: CVS-R0588741
Employment Type: Full Time

Perks and Benefits

  • Health and Wellness

    • Health Insurance
    • Dental Insurance
    • Vision Insurance
    • Life Insurance
    • HSA
    • HSA With Employer Contribution
    • Pet Insurance
    • Mental Health Benefits
  • Parental Benefits

    • Fertility Benefits
    • Adoption Assistance Program
    • Family Support Resources
  • Work Flexibility

    • Flexible Work Hours
    • Remote Work Opportunities
    • Hybrid Work Opportunities
  • Vacation and Time Off

    • Paid Vacation
    • Paid Holidays
    • Personal/Sick Days
  • Financial and Retirement

    • 401(K) With Company Matching
  • Professional Development

    • Tuition Reimbursement
  • Diversity and Inclusion

    • Employee Resource Groups (ERG)
    • Diversity, Equity, and Inclusion Program